Use of Abdominal and Pelvic Ultrasound in The Evaluation of Chronic Abdominal Pain

1993 ◽  
Vol 32 (3) ◽  
pp. 147-150 ◽  
Author(s):  
Rosemary E. Schmidt ◽  
Diane S. Babcock ◽  
Michael K. Farrell
Keyword(s):  
Abdominal Pain ◽  
Ovarian Cyst ◽  
Medical Records ◽  
Chronic Abdominal Pain ◽  
Pelvic Ultrasound ◽  
Referring Physicians ◽  
Contrast Studies

The value of sonography in assessing chronic abdominal pain (CAP) in children, the characteristics of CAP, and the local pediatrician's practice in evaluating CAP are reported. Fifty-seven patients with CAP had abdominal and/or pelvic sonography; 56 were normal. One sonogram showed an ovarian cyst on the side opposite the CAP; the cyst later resolved. Pain was usually localized in the periumbilical area (56%). Follow-up data were obtained from referring physicians and patients' medical records. No serious diagnosis related to CAP was missed. After six months, CAP had resolved in 43% of patients. Of the responding physicians, 61 % indicated they would have used more and costlier contrast studies if ultrasonography had been unavailable.

scholarly journals Use of methylene blue in the prevention of recurrent intra-abdominal postoperative adhesions

2017 ◽  
Vol 46 (1) ◽  
pp. 504-510 ◽  
Author(s):  
Octavian C. Neagoe ◽  
Mihaela Ionica ◽  
Octavian Mazilu
Keyword(s):  
Methylene Blue ◽  
Abdominal Pain ◽  
Abdominal Surgery ◽  
Beneficial Effect ◽  
Adhesion Formation ◽  
Chronic Abdominal Pain ◽  
Postoperative Adhesions ◽  
Similar Time ◽  
History Of

Objective To evaluate the efficacy of methylene blue in preventing recurrent symptomatic postoperative adhesions. Methods Patients with a history of >2 surgeries for intra-abdominal adhesion-related complications were selected for this study. Adhesiolysis surgery was subsequently performed using administration of 1% methylene blue. The follow-up period was 28.5 ± 11.1 months. Results Data were available from 20 patients (seven men and 13 women) whose mean ± SD age was 51.2 ± 11.4 years. Adhesions took longer to become symptomatic after the first abdominal surgery when the initial pathology was malignant compared with benign. However, the recurrence of adhesions after a previous adhesiolysis surgery had a similar time onset regardless of the initial disease. Following adhesiolysis surgery with methylene blue, the majority of patients did not present with symptoms associated with adhesion complications (i.e., chronic abdominal pain, bowel obstruction) for the length of the follow-up period. Conclusions The use of methylene blue during adhesiolysis surgery appears to reduce the recurrence of adhesion-related symptoms, suggesting a beneficial effect in the prevention of adhesion formation.

scholarly journals Chronic abdominal pain in long-term spinal cord injury: a follow-up study

Spinal Cord ◽  
2016 ◽  
Vol 55 (3) ◽  
pp. 290-293 ◽  
Author(s):  
S D Nielsen ◽  
P M Faaborg ◽  
P Christensen ◽  
K Krogh ◽  
N B Finnerup
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Abdominal Pain ◽  
Chronic Abdominal Pain ◽  
Follow Up Study ◽  
Cord Injury

STUDY TO EVALUATE THE ROLE OF LAPAROSCOPY IN CHRONIC ABDOMINAL PAIN

2021 ◽  
pp. 26-27
Author(s):  
K.Nagarjuna Reddy ◽  
G. Raga Harshitha
Keyword(s):  
Abdominal Pain ◽  
Average Length ◽  
Demographic Data ◽  
Previous History ◽  
Chronic Abdominal Pain ◽  
Main Function ◽  
Therapeutic Role ◽  
History Of

INTRODUCTION : Chronic abdominal pain can be diagnostic challenge. Chronic abdominal pain is a signicant clinical problem that often leads to repeated laparotomies. Laparoscopy has a signicant diagnostic and therapeutic role in patients with chronic abdominal pain. In case of diagnostic uncertainty, laparoscopy may help to avoid unnecessary laparotomy, provide accurate diagnosis and helps to plan surgical treatment. The main function of laparoscopic evaluation is to detect the presence or absence of intra abdominal organic lesion. AIMS AND OBJECTIVES : To determine the diagnostic and therapeutic role of laparoscopy in chronic abdominal pain. MATERIALS AND METHODS : All patients undergoing laparoscopy for chronic abdominal pain were included in the study for a period of 1 year from Nov. 2018 to Oct. 2019 in SHANTIRAM Medical College and General Hospital. The patient's demographic data, length of time with pain, diagnostic studies, intraoperative ndings, interventions and follow-up were determined. INCLUSION CRITERIA: Patients with history of abdominal pain for 3months or more, if physical examination and diagnostic tests are unrevealing. Patients with previous history of abdominal operation are included. RESULTS : A total of 25 patients (19 women and 6 men) with an average age of 34.64yrs underwent diagnostic laparoscopy for the evaluation and treatment of chronic abdominal pain. The average length of time with pain was 32.96 weeks (range 12-96). 2 cases required conversion to an open procedure and no complications occurred. Findings included abdominal Koch's in 9, appendicitis in 8, cholecystitis in 1, cirrhosis in 1; ovarian cyst in 1, bilateral mbrial cyst in 1 and 4 patients had no obvious pathology. 82.6% of patients had pain relief at the time of follow up. CONCLUSION : Laparoscopy has a diagnostic and therapeutic role in patients with chronic pain abdomen

scholarly journals Transduodenal Sphincteroplasty and Transampullary Septectomy for Papillary Stenosis

HPB Surgery ◽  
1996 ◽  
Vol 9 (4) ◽  
pp. 199-207 ◽  
Author(s):  
S. B. Kelly ◽  
B. J. Rowlands
Keyword(s):  
Acute Pancreatitis ◽  
Abdominal Pain ◽  
Chronic Pancreatitis ◽  
Chronic Abdominal Pain ◽  
Recurrent Acute Pancreatitis ◽  
Papillary Stenosis ◽  
Relieve Pain

Twenty patients received transduodenal sphincteroplasty and transampullary septectomy between 1987 and 1993. Seven patients had post-cholecystectomy pain which was much improved or abolished in 5 of 7 patients at a mean follow-up of 4 years and 5 months. Four of five patients with chronic pancreatitis were improved at 3 years and 2 months. Three of five patients with recurrent acute pancreatitis were improved at 4 years and 5 months. One of three patients with chronic abdominal pain of hepatobiliary origin was improved at 3 years. Transduodenal sphincteroplasty and transampullary septectomy can relieve pain in patients with post-cholecystectomy pain, recurrent acute pancreatitis, chronic pancreatitis, and chronic abdominal pain of hepatobiliary origin, presumably by improving drainage of the obstructed ducts.

Efficacy of Laparoscopy in Diagnosis and Treatment of Chronic Abdominal Pain of Unknown Origin

2019 ◽  
Vol 85 (10) ◽  
pp. 1104-1107
Author(s):  
Jamil S. Samaan ◽  
Emily Chang ◽  
Nadav J. Hart ◽  
Evan T. Alicuben ◽  
Fadi Samaan ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Diagnostic Laparoscopy ◽  
Unknown Origin ◽  
Definitive Diagnosis ◽  
Chronic Abdominal Pain ◽  
Positive Finding ◽  
Safe Procedure ◽  
Single Institution ◽  
Therapeutic Tool

Chronic abdominal pain of unknown origin is a challenging diagnosis encountered by clinicians. Patients often undergo an extensive workup and long periods of uncertainty without the establishment of a definitive diagnosis. Diagnostic laparoscopy is a relatively safe procedure that can be used as an effective diagnostic and therapeutic tool in treating this disease. This was a retrospective, single-institution study exploring the efficacy of diagnostic laparoscopy in treating chronic abdominal pain of unknown origin. More than 90 per cent of laparoscopies resulted in a positive finding, with adhesions being the most common. A total of 50 per cent of patients experienced resolution of symptoms on follow-up. Patients were overwhelmingly satisfied with their postoperative outcomes and willing to undergo the procedure again with their outcomes in mind.

J 5 — A Data Processing System for Medical Information

1967 ◽  
Vol 06 (01) ◽  
pp. 1-6
Author(s):  
P. Hall ◽  
Ch. Mellner ◽  
T. Danielsson
Keyword(s):  
Medical Records ◽  
Medical Information ◽  
Health Care Systems ◽  
Processing System ◽  
Linear Pattern ◽  
Flexible Form ◽  
Care Systems ◽  
Pattern Recognition Analysis ◽  
Numeric Information

A system for medical information has been developed. The system is a general and flexible one which without reprogramming or new programs can accept any alphabetic and/or numeric information. Coded concepts and natural language can be read, stored, decoded and written out. Medical records or parts of records (diagnosis, operations, therapy, laboratory tests, symptoms etc.) can be retrieved and selected. The system can process simple statistics but even make linear pattern recognition analysis.The system described has been used for in-patients, outpatients and individuals in health examinations.The use of computers in hospitals, health examinations or health care systems is a problem of storing information in a general and flexible form. This problem has been solved, and now it is possible to add new routines like booking and follow-up-systems.

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