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Acute pain management in symptomatic cholelithiasis

查看全文 作  者:Tahir [1]Masudi;Helen Capitelli-Mc [1]Mahon;Suhail [1]Anwar 高影响力作者 机构地区:[1]York Hospitals NHS Foundation Trust,the York Teaching Hospital高影响力机构 出  处:《World Journal of Gastrointestinal Surgery》索引2016年第8卷第10期,共6页高影响力期刊 摘  要:AIM To review the evidence for the use of different nonsteroidal anti-inflammatory drugs(NSAIDs) in the treatment of biliary colic.METHODS The strategies employed included an extensive literature review for articles and studies related to biliary colic from electronic databases including Pub Med,Science Direct,Wiley Inter Science,Medline and Cochrane from last 15 years.Keywords: 'Biliary colic','management of biliary colic','non-steroidal anti-inflammatory drugs','cholelithiasis' and 'biliary colic management'.Six randomized control trials,1 non-randomized trial and 1 meta-analysis were included in this review.The outcomes of these studies and their significance have been reviewed in this paper.RESULTS Current evidence suggests there are no set protocols for biliary colic pain management.NSAIDs are potent in the management of biliary colic,not only in terms of symptom control but in disease progression as well.Apart from the studies on diclofenac and ketorolac,there are studies which have shown that intravenous tenoxicam and injectable flurbiprofen are equally effective in managing biliary colic.The efficacy of NSAIDs is superior in terms of lower number of doses and longer duration of action in comparison to other analgesic agents.CONCLUSION This literature review has found that NSAIDs are safe and effective for pain control in biliary colic,and reduce the likelihood of further complications. 关 键 词:BILIARY COLIC MANAGEMENT of BILIARY COLIC NON-STEROIDAL anti-inflammatory drugs CHOLELITHIASIS BILIARY COLIC MANAGEMENT
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