Síndrome de ACNES, explorando la pared abdominal como noxa del dolor abdominal

R., Clara García; Arcos, Gonzalo Botija; L., Aránzazu Recio; I., Consuelo Nieto; M., Alfonso Barrio

doi:10.32641/andespediatr.v93i1.3619

Cited by 2 publications

(4 citation statements)

References 27 publications

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“…One study, by García et al [ 21 ], reported on conservative treatment for ACNES. Seven of the twenty patients (35%) reported improvement after oral medication, while one patient reported spontaneous improvement.…”

Section: Resultsmentioning

confidence: 99%

“…Additionally, fve case series (108 patients) and two case reports (2 patients) reported on surgical procedures, and one study detailed outcomes after both injections and surgical interventions (12 patients). Only one article described the results of conservative noninvasive treatment [21]. Among the 11 case series, six originate from the same surgical research group, accounting for 74% of all patients [5,20,[22][23][24][25].…”

Section: Resultsmentioning

confidence: 99%

“…All but one of the relevant publications concern invasive treatments. The only exception is a publication reporting the outcome of conservative treatment in 20 patients, of whom 5 required injections and ultimately none of them needed surgical intervention [ 21 ]. This specific study demonstrated that conservative strategies can also be effective.…”

Section: Discussionmentioning

confidence: 99%

“…Results for Conservative Treatment. One study, by García et al[21], reported on conservative treatment for ACNES.…”

mentioning

confidence: 99%

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How Do We Treat Children with Anterior Cutaneous Nerve Entrapment Syndrome and Is the Biopsychosocial Model Also Being Applied? A Scoping Review

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de Leeuw,

Bramer

et al. 2024

Pain Research and Management

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Background. Evidence-based guidelines for managing anterior cutaneous nerve entrapment syndrome (ACNES) in children are absent. The primary aim of this review was to scrutinize the evidence supporting currently used treatment interventions. In accordance with the World Health Organization (WHO) guidelines for managing chronic pain in children, these patients and their families and caregivers should be treated within the context of the biopsychosocial model; pain should not be treated purely as a biomedical problem. Therefore, our second aim was to evaluate whether these interventions are applied within the context of the biopsychosocial model, utilizing an inter- or multidisciplinary approach. Materials and Methods. A scoping review of the literature was conducted to explore treatment strategies for ACNES in children. To ensure a comprehensive overview of published literature on this topic, the search was not restricted based on study type. Two reviewers independently assessed titles and abstracts. After excluding records unrelated to children, full texts were screened for inclusion. Any discrepancies in judgement were resolved through discussion with a third reviewer. Results. Out of 35 relevant titles, 22 were included in this review. Only 4 articles provided information on long-term outcomes. The overall quality of the review was deemed low. The majority of reports did not address treatment or education within the psychological and social domains. A structural qualitative analysis was not feasible due to the substantial heterogeneity of the data. Conclusion. The evidence supporting current treatment strategies in children with ACNES is of low quality. More research is needed to establish an evidence-based treatment algorithm for patients with this challenging pain problem. In line with the WHO recommendation, greater emphasis should be placed on a biopsychosocial approach. The ultimate goal should be the development of a generic treatment algorithm outlining an approach to ACNES applicable to all professionals involved.

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Section: Resultsmentioning

confidence: 99%