AI Article Synopsis
- Crohn's disease is a chronic inflammatory bowel condition that often causes debilitating abdominal pain, even during remission.
- A female college student with severe abdominal pain and a history of Crohn's underwent DRG stimulation, leading to significant pain reduction and improved quality of life after one year.
- The case highlights DRG stimulation as a promising treatment for managing chronic pain in patients with inflammatory bowel diseases.
Article Abstract
Background: Crohn's disease (CD) is a chronic relapsing-remitting, immunological, inflammatory bowel disease involving any part of the gastrointestinal tract, most commonly, the terminal ileum. Abdominal pain is a prominent debilitating symptom of CD due to continuous intestinal inflammation, associated with disease severity and complications. However, abdominal pain has shown to occur even with disease remission.
Case Presentation: A female college student with a history of Crohn's Disease was referred for severe, chronic abdominal pain, with frequent flare-ups and hospitalizations. Due to her refractory debilitating pain, DRG stimulation was initiated with leads placed at right T11 and T12. Twelve months post-implantation, the patient reports 50-60 % reduction in pain, tolerance of an oral diet without postprandial pain, no occurrence of flares since implant, and an overall improvement in function and quality of life.
Conclusion: This report showcases the therapeutic potential of DRG stimulation in managing intractable chronic abdominal pain in inflammatory bowel diseases such as Crohn's disease.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11652742 | PMC |
| http://dx.doi.org/10.1016/j.inpm.2024.100524 | DOI Listing |
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