Baumgartner C, Monnier J, Bastid C, Gillabert C, Otterström C. [Chronic abdominal pain from digestive origin : summary 2023].
Rev Med Suisse 2023;
19:1743-1747. [PMID:
37753912 DOI:
10.53738/revmed.2023.19.843.1743]
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Abstract
Chronic abdominal pain is continuous or intermittent pain that has been present for at least three months. As its clinical presentation and etiologies are numerous, recommendations to facilitate its management are difficult to establish. Unlike acute abdominal pain, which accounts for 5 to 10 % of emergency consultations, the prevalence of its chronic form is unknown. Its differential diagnoses are therefore important to know in order to direct initial management before referring to a specialist. The updated red flags were inspired by two journal articles dated 2021. It should now be considered that digestive neoplasia can be suspected before the age of 50, and that the prevalence of irritable bowel syndrome has decreased following a change in diagnostic criteria.
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