Abstract

AGA Clinical Practice Update on Pain Management in Inflammatory Bowel Disease: Commentary

Gastroenterology. 2024 Apr 17:S0016-5085(24)00358-5.doi: 10.1053/j.gastro.2024.03.034. Online ahead of print.

 

Laurie Keefer 1Jana G Hashash 2Eva Szigethy 3Emeran A Mayer 4

 
     

Author information

1Division of Gastroenterology, Icahn School of Medicine at Mount Sinai, New York, New York.

2Inflammatory Bowel Disease Center, Division of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, Florida.

3Department of Pediatric Psychiatry, Akron Children's Hospital, Akron, Ohio; Division of Gastroenterology, Hepatology, and Nutrition, University of Pittsburgh, Pittsburgh, Pennsylvania.

4Vatche and Tamar Manoukian Division of Digestive Diseases, University of California at Los Angeles, Los Angeles, California. Electronic address: EMayer@mednet.ucla.edu.

Abstract

Description: Pain is a common symptom among patients with inflammatory bowel disease (IBD). Although pain typically occurs during episodes of inflammation, it is also commonly experienced when intestinal inflammation is quiescent. Many gastroenterologists are at a loss how to approach pain symptoms when they occur in the absence of gut inflammation. We provide guidance in this area as to the evaluation, diagnosis, and treatment of pain among patients with IBD.

Methods: This CPU was commissioned and approved by the AGA Institute Clinical Practice Updates Committee (CPUC) and the AGA Governing Board to provide timely guidance on a topic of high clinical importance to the AGA membership and underwent internal peer review by the CPUC and external peer review through standard procedures of Gastroenterology. This expert commentary incorporates important as well as recently published studies in this field, and it reflects the experiences of the authors. Formal ratings regarding the quality of evidence or strength of the presented considerations were not included because systematic reviews were not performed.

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