The Clinical Problem Functional abdominal pain syndrome (FAPS) is a state of chronic recurrent abdominal pain that is not due to structural, organic, or metabolic diseases, as far as can be detected by current routine clinical examinations [7]. Abdominal pain in FAPS is unrelated to provocation, exaggeration, or relief by everyday physiological stimuli such as eating, exercise, defecation, or m...

We presented a rare case of chronic afferent loop obstruction after radical resection of gastric carcinoma. A 44year-old man was admitted because of “upper abdominal distension and abdominal pain for 3 months, skin and sclera jaundice for 2 weeks”. Abdominal CT revealed dilatation of the intrahepatic bile duct and common bile duct, a large, abdominal cystic lesion, as well as left adrenal gland...

Twenty patients received transduodenal sphincteroplasty and transampullary septectomy between 1987 and 1993. Seven patients had post-cholecystectomy pain which was much improved or abolished in 5 of 7 patients at a mean follow-up of 4 years and 5 months. Four of five patients with chronic pancreatitis were improved at 3 years and 2 months. Three of five patients with recurrent acute pancreatiti...

BACKGROUND Chronic appendicitis may be the cause of recurrent abdominal pain. This hypothesis is the subject of controversy. The aim is to clarify the possible existence of a chronic inflammation of the appendix by a clinical and histopathologic study. METHODS The case history and the preoperative symptoms and serum findings of 269 patients with appendectomy have been studied. All the appendi...

BACKGROUND This study was to compare the effect of a stimulant laxative alone and in combination with traditional Japanese medicine Daikenchuto (TJ-100) in improving stool frequency and in alleviating bloating and abdominal pain in patients with chronic constipation. METHODS Twenty-two patients with chronic constipation who required sennoside (24 - 60 mg daily) were allocated to two groups fo...

Chronic abdominal wall pain is often difficult to manage with physical/occupational therapy, analgesic medications, and invasive procedures. We report the first case of a transnasal sphenopalatine ganglion block that repeatedly provided greater than 80% relief for patient suffering from intractable chronic pain. A 28-year-old female Crohn's disease presented after several surgeries. Imaging did...