Abdominal Pain

Aug 01, 2021 Issue
Diagnosis and Initial Management of Acute Colonic Diverticulitis [Implementing AHRQ Effective Health Care Reviews]

What are the benefits and harms of diagnostic testing, and what is the effectiveness of treatment options for acute colonic diverticulitis?

Aug 01, 2021 Issue
Accuracy of Ultrasonography for the Diagnosis of Small Bowel Obstruction [Medicine by the Numbers]

According to a meta-analysis including prospective observational studies evaluating the accuracy of ultrasonography for the diagnosis of small bowel obstruction, ultrasonography appears to be highly sensitive and specific for this use.

Jun 15, 2021 Issue
Irritable Bowel Syndrome: Questions and Answers for Effective Care [Article]

Irritable bowel syndrome (IBS) is a heterogeneous group of conditions related to biologic and cellular abnormalities. Psychological factors do not cause IBS, but many people with IBS also have anxious or depressed mood, prior adverse life events, or psychosocial stressors. Physicians should understand the concerns and expectations of patients and the models the patients use to explain their illness and should empathetically respond to psychosocial cues. Anxiety related to the unpredictability of symptoms may have a greater effect on quality of life than the symptoms themselves. Treatments should focus on symptom relief and improved quality of life.

Dec 1, 2020 Issue
Antibiotics for Uncomplicated Diverticulitis [Medicine by the Numbers]

Learn more about the benefits and harms of antibiotics for uncomplicated diverticulitis.

Oct 15, 2020 Issue
Acute Diverticulitis: Identifying Patients Unlikely to Have Complications [Point-of-Care Guides]

Can a clinical prediction rule accurately identify patients at low risk of complicated acute diverticulitis, defined as diverticulitis accompanied by abscess or peritonitis?

Sep 15, 2020 Issue
Diverticulitis: Predicting Which Patients with Acute Abdominal Pain Have the Disease [Point-of-Care Guides]

Is it possible to determine which patients with acute abdominal pain are likely to have diverticulitis and therefore do not require imaging?

Mar 1, 2019 Issue
Gas, Bloating, and Belching: Approach to Evaluation and Management [Article]

Gas, bloating, and belching are primarily caused by functional gastrointestinal disorders; psychological distress can make symptoms worse. Exhaustive testing is not necessary for diagnosis. Most patients are classified as having gastric or small bowel bloating, bloating with constipation, or belching disorders. Patients with symptoms of irritable bowel syndrome should be tested for celiac disease; patients with chronic constipation should have a rectal examination. There is insufficient evidence to support the routine use of highly restrictive exclusion diets except in patients with confirmed celiac disease.

Dec 15, 2018 Issue
Crohn's Disease: ACG Releases Updated Management Guidelines [Practice Guidelines]

Options for managing Crohn’s disease continue to increase, as does the prevalence of the disease. The American College of Gastroenterology (ACG) has released an updated clinical practice guideline outlining features of the disease, as well as diagnosis and treatment options.

Oct 1, 2018 Issue
Abdominal Wall Pain: Clinical Evaluation, Differential Diagnosis, and Treatment [Article]

Many clinicians are unfamiliar with abdominal wall pain and may order expensive and unnecessary laboratory tests, imaging studies, and consultations, potentially exposing patients to unwarranted invasive procedures. Find out how to distinguish benign etiologies from more serious intra- or extraabdominal causes, and learn about the emerging data on point-of-care ultrasonography and surgical intervention for abdominal wall pain.

Sep 15, 2018 Issue
Intestinal Obstruction: Evaluation and Management [Article]

Acute intestinal obstruction occurs when the forward flow of intestinal contents is interrupted or impaired by a mechanical cause, most commonly intraabdominal adhesions, malignancy, and herniation. Find out which patients can be managed nonoperatively, and when medical therapy or surgery is required.

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