NEUROPATHIC ABDOMINAL PAIN
https://doi.org/10.21518/2079-701X-2017-20-65-67
Abstract
The abdominal pain is diverse on the parentage (visceral, reflected, central-mediated, senesthopathias, neuropathic). The neuropathic abdominal pain is a little familiar to therapists. It has the clinical features: an allodynia (hyperalgesia), a hygromania, a combination to vegetative dysfunction. On a forward abdominal wall painful trigger points and a positive Carnett’s symptom are defined. Elimination of a neuropathic abdominal pain is reached by means of course application of a combination of medical products (local anaesthetics, non-opioid analgetics, anticonvulsants, antidepressants), and at their insufficient efficiency the surgical intervention (excision of terminal departments of intercostal nerves in the field of a direct muscle of a stomach) is shown. Efficiency of similar complex treatment reaches 73%.
About the Authors
S. A. Baranov
Sechenov First Moscow state medical university Ministry of Healthcare of the Russian Federation.
Russian Federation
Russian Federation
PhD in Medicine.
Moscow.
V. M. Nechaev
Sechenov First Moscow state medical university Ministry of Healthcare of the Russian Federation.
Russian Federation
Russian Federation
PhD in Medicine.
Moscow.
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Review
For citations:
Baranov SA, Nechaev VM. NEUROPATHIC ABDOMINAL PAIN. Meditsinskiy sovet = Medical Council. 2017;(20):65-67. (In Russ.) https://doi.org/10.21518/2079-701X-2017-20-65-67
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