Linee guida di indirizzo nella gestione dell’addome acuto e dell’occlusione intestinale

Contenuto principale dell'articolo

Manuel Monti
Francesco Borgognoni
Gabriele D’Amata

Abstract

La valutazione del paziente del pronto soccorso con dolore addominale acuto è talvolta difficile. Vari fattori possono oscurare la presentazione, ritardare o prevenire la diagnosi corretta, con conseguenti esiti avversi per il paziente. I medici devono prendere in considerazione diagnosi multiple, in particolare quelle condizioni potenzialmente letali che richiedono un intervento tempestivo per limitare la morbilità e la mortalità. Questo articolo esaminerà le informazioni generali sul dolore addominale e discuterà dell'approccio clinico attraverso la revisione della storia e l'esame obiettivo. Inoltre, questo articolo discuterà l'approccio ai pazienti instabili con dolore addominale.

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Come citare
[1]
Monti, M., Borgognoni, F. e D’Amata, G. 2018. Linee guida di indirizzo nella gestione dell’addome acuto e dell’occlusione intestinale. Italian Journal of Prevention, Diagnostic and Therapeutic Medicine. 1, 1 (giu. 2018), 6-20. DOI:https://doi.org/10.30459/2018-1.
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Articoli

Riferimenti bibliografici

Powers RD, Guertler AT.Abdominal pain in the ED: stability and changer over 20 years.

Am J Emerg Med 1995; 13:301-303

Van Geloven, Biiesheuvel TH, Luitse SK, et al.Hospital admissions of patients aged over 80 with acute abdominal complaints. Eur J Surg 2000;166:866-871.

Hustey FM, Meldon SW, Banet GA, et al. The use of abdominal computed tomography in older ED patients with acute abdominal pain. Am J Emerg Med 2005;23:259

Allegri M1, Clark MR, De Andrés J, Jensen TS Acute and chronic pain: where we are and where we have to go. Minerva Anestesiol. 2012 ;78(2):222-35.

Manterola C1, Vial M, Moraga J, Astudillo P.Analgesia in patients with acute abdominal pain. Cochrane Database Syst Rev. 2011; 19;(1): CD005660

Clinical policy for the initial approach to patients presenting with a chief complaint of nontraumatic acute abdominal pain. American College of Emergency Physicians Ann Emerg Med. 1994;23(4):906-22

Kamin RA, Nowicki TA, Courney DS, Powers RD. Pearls and pitfalls in the emergency department evaluation of abdominal pain. Emerg Med Clin North Am 2003;21:61

Covarelli P, Cristofani R, Bussotti C, Scalercio V, Boselli C, Petrina A, Noya G Acute abdomen: experience with 196 consecutive cases].Chir Ital. 2007;59(3):291-7.

Ros SP.Evaluation of tympanic membrane thermometer in an out patient clinical setting. 18(9):1004-06. Ann Emerg Med 1989

Hooker EA, Houston H. Screening for fever in an adult emergency department: oral vs . tympanic thermometry .89:230-234. South Med J 1996

Alvarado A. A practical score for the early diagnosis of acute appendicitis. Ann Emerg Med 15;5:557-64

Nasiri S, Mohebbi F, Sodagari N, Hedayat A. Diagnostic values of ultrasound and the Modified Alvarado Scoring System in acute appendicitis. Int J Emerg Med, 2012;5:26

Andersson RE. Meta-analysis of the clinical and laboratori diagnosis of appendicitis. Br J Surg 2004;91:28-37

Bundy DG, Byerley JS, Liles EA, et Al. Does this child have appendicitis? JAMA 2007;298:438-451

Chase CW, Barker DE, Russell WL, Bruns RP. Serum amylase and lipase in the evaluation of acute abdominal pain. Am Surg 1996;62:1028-33

Sabiston DC, Townsend CM. Acute abdomen. Sabiston textbook for surgery: the biological basis of modern surgical practice. 18th ed. Philadelphia: Saunders/Elsevier 2008. P. 1180-96

Valentino M, Monteduro F, Pavlica P, Barozzi L. Indicazioni e limiti della radiologia tradizionale nell’addome acuto. ECJ 2008;III:36-42

Shea JA, Berlin JA, Escarce JJ, Clarke JR, Kinosian BP, Cabana MD, et al. Revised estimates of diagnostic test sensitivity and specificity in suspected biliary tract disease. Arch Int Med 1994;154:2573-81

MacKersie AB, Lane MJ, Gerhardt RT, Claypool HA, Keenan S, Katz DS, et al. Nontraumatic acute abdominal pain:unhenced helicl CT copared with three view abdominal series. Radiology 2005:237:114-22

Mulholland - Lillemoe - Doherty - Maier - Upchurch, Jr - Greenfield Greenfield' s Chirurgia - Principi scientifici e pratica Editore: Delfino , Edizione: IV 3/2010

Raman SS, Osuagwu FC, Kadell B, Cryer H, Sayre J, Lu DS. Effect of CT on false positive diagnosis of appendicitis and perforation. N Engl J Med 2008;358:972-3

Thomson HJ, Jones PF. Active observation in acute abdominal pain. Am J Surg 1986;152:522-5

Thomas SH, Silen WH, Cheema F, et al. Effects of Morphine analgesia on diagnostic accuracy in emergency department patients with abdominal pain: a prospective, randomized trial. J Am Coll Surg 2003;196:18-31

Grassi R, Cappabiana S, Porto A, et al. Ogilvie’s syndrome (acute colonic pseudo-obstruction) review of the literature and report of six additional cases. La radiologia medica. 2005;109:370-57

Love R, Starling JR, Sollinger HW. Colonscopic decompression for acute colonic pseudobstruction (Ogilvie’s syndrome) in Transplant recipients. Gastrointest Endosc. 1988;34:426-9

Sinha R, Verna R. Multidetector row computed tomography in bowel obstruction. Clin Radiol. 2005;60:1058-1075