Dolores abdominales recurrentes en atención primaria: estudio del dolor abdominal recurrente funcional
Recurrent abdominal pain in general practice: study of functional recurrent abdominal pain
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Serrano Guerra, J.R. Gutiérrez Casares" "autores" => array:4 [ 0 => array:3 [ "nombre" => "C.L." "apellidos" => "Sanz de la Garza" "referencia" => array:3 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "S." "apellidos" => "Gámez Guerrero" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "E." "apellidos" => "Serrano Guerra" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 3 => array:3 [ "nombre" => "J.R." "apellidos" => "Gutiérrez Casares" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Unidad de Hospitalización Breve de Psiquiatría. Hospital Infanta Cristina. Badajoz" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Centro de Salud Mental Infanto-Juvenil. Hospital Central de Asturias. Oviedo" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "<span class="elsevierStyleItalic">Correspondencia:</span> Avda. Damián Téllez Lafuente 6, 3.° C. 06010 Badajoz." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Recurrent abdominal pain in general practice: study of functional recurrent abdominal pain" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2000-06-01" "fechaAceptado" => "2000-09-01" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec186484" "palabras" => array:5 [ 0 => "<span class="elsevierStyleItalic">Dolor abdominal</span>" 1 => "<span class="elsevierStyleItalic">Niño</span>" 2 => "<span class="elsevierStyleItalic">Trastornos del comportamiento infantiles</span>" 3 => "<span class="elsevierStyleItalic">Rol de enfermo</span>" 4 => "<span class="elsevierStyleItalic">Trastornos somatoformes</span>" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec186483" "palabras" => array:4 [ 0 => "<span class="elsevierStyleItalic">Abdominal pain</span>" 1 => "<span class="elsevierStyleItalic">Child</span>" 2 => "<span class="elsevierStyleItalic">Child behavior disorders</span>" 3 => "<span class="elsevierStyleItalic">Sick role somatoform disorders</span>" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">En la práctica clínica diaria gran número de padres acuden con sus hijos a las consultas de pediatría por dolores abdominales que cursan de forma recurrente. La experiencia clínica acumulada ha demostrado que una vez realizadas las pruebas diagnósticas pertinentes, la mayoría de estos cuadros no presentan causa orgánica que los justifique y por ello son denominados dolores abdominales recurrentes funcionales. La aparatosidad de estos cuadros clínicos suele llevar a los padres a solicitar consultas médicas urgentes, realizar numerosas pruebas complementarias y, en los casos graves, a ingresos hospitalarios durante tiempo prolongado que no suelen demostrar eficacia terapéutica y suponen un riesgo añadido para la salud mental de estos niños. En la mayoría de los casos están implicados elementos psíquicos que son determinantes en el inicio y mantenimiento de los dolores, por lo que es imprescindible un abordaje mixto psicopediátrico que preserve en todo momento la continuidad terapéutica. Por todo ello se ha considerado conveniente revisar los aspectos psiquiátricos y psicológicos implicados en esta enfermedad.</p>" ] "en" => array:1 [ "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Pediatricians find that in daily clinical practice they are frequently visited by parents with children that have recurrent abdominal pain. Clinical experience has demonstrated that, after performing all relevant diagnostic tests, no medical condition justifying such investigations is involved in more than half of these disorders. Consequently, these disorders are called functional recurrent abdominal pain. The dramatic nature of their children' s symptoms often leads parents to seek urgent medical consultations and ask for additional complementary tests; in serious cases, these disorders can lead to prolonged hospitalization with no proven therapeutic efficacy and which pose an additional risk for the child' s mental health. In most patients, psychological factors are involved which play a key role in the onset and persistent nature of abdominal pains. Consequently, a psychopediatric approach preserving therapeutic continuity should be adopted. For these reasons, we consider a review of the psychiatric and psychological aspects involved in this disorder to be opportune.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliogrífia" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:56 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Recurrent abdominal pains: A field survey of 1.000 school children" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "J. Apley" 1 => "N. 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 6 | 10 | 16 |
| 2024 Octubre | 45 | 48 | 93 |
| 2024 Septiembre | 43 | 48 | 91 |
| 2024 Agosto | 53 | 73 | 126 |
| 2024 Julio | 61 | 47 | 108 |
| 2024 Junio | 55 | 42 | 97 |
| 2024 Mayo | 61 | 75 | 136 |
| 2024 Abril | 61 | 55 | 116 |
| 2024 Marzo | 41 | 42 | 83 |
| 2024 Febrero | 43 | 43 | 86 |
| 2024 Enero | 40 | 29 | 69 |
| 2023 Diciembre | 35 | 30 | 65 |
| 2023 Noviembre | 42 | 55 | 97 |
| 2023 Octubre | 38 | 45 | 83 |
| 2023 Septiembre | 30 | 29 | 59 |
| 2023 Agosto | 25 | 24 | 49 |
| 2023 Julio | 59 | 39 | 98 |
| 2023 Junio | 32 | 36 | 68 |
| 2023 Mayo | 34 | 26 | 60 |
| 2023 Abril | 27 | 27 | 54 |
| 2023 Marzo | 24 | 22 | 46 |
| 2023 Febrero | 18 | 21 | 39 |
| 2023 Enero | 25 | 35 | 60 |
| 2022 Diciembre | 22 | 27 | 49 |
| 2022 Noviembre | 36 | 37 | 73 |
| 2022 Octubre | 45 | 45 | 90 |
| 2022 Septiembre | 30 | 23 | 53 |
| 2022 Agosto | 51 | 63 | 114 |
| 2022 Julio | 24 | 36 | 60 |
| 2022 Junio | 29 | 38 | 67 |
| 2022 Mayo | 26 | 34 | 60 |
| 2022 Abril | 29 | 41 | 70 |
| 2022 Marzo | 26 | 38 | 64 |
| 2022 Febrero | 25 | 30 | 55 |
| 2022 Enero | 21 | 36 | 57 |
| 2021 Diciembre | 26 | 42 | 68 |
| 2021 Noviembre | 23 | 42 | 65 |
| 2021 Octubre | 28 | 45 | 73 |
| 2021 Septiembre | 24 | 45 | 69 |
| 2021 Agosto | 27 | 38 | 65 |
| 2021 Julio | 32 | 30 | 62 |
| 2021 Junio | 34 | 40 | 74 |
| 2021 Mayo | 43 | 38 | 81 |
| 2021 Abril | 77 | 55 | 132 |
| 2021 Marzo | 64 | 31 | 95 |
| 2021 Febrero | 61 | 31 | 92 |
| 2021 Enero | 37 | 23 | 60 |
| 2020 Diciembre | 48 | 31 | 79 |
| 2020 Noviembre | 31 | 7 | 38 |
| 2020 Octubre | 32 | 11 | 43 |
| 2020 Septiembre | 34 | 10 | 44 |
| 2020 Agosto | 46 | 11 | 57 |
| 2020 Julio | 47 | 11 | 58 |
| 2020 Junio | 50 | 10 | 60 |
| 2020 Mayo | 46 | 27 | 73 |
| 2020 Abril | 30 | 13 | 43 |
| 2020 Marzo | 39 | 15 | 54 |
| 2020 Febrero | 52 | 20 | 72 |
| 2020 Enero | 27 | 17 | 44 |
| 2019 Diciembre | 51 | 24 | 75 |
| 2019 Noviembre | 24 | 20 | 44 |
| 2019 Octubre | 11 | 19 | 30 |
| 2019 Septiembre | 34 | 29 | 63 |
| 2019 Agosto | 33 | 15 | 48 |
| 2019 Julio | 32 | 25 | 57 |
| 2019 Junio | 27 | 40 | 67 |
| 2019 Mayo | 35 | 68 | 103 |
| 2019 Abril | 43 | 51 | 94 |
| 2019 Marzo | 25 | 22 | 47 |
| 2019 Febrero | 21 | 13 | 34 |
| 2019 Enero | 21 | 20 | 41 |
| 2018 Diciembre | 19 | 21 | 40 |
| 2018 Noviembre | 33 | 19 | 52 |
| 2018 Octubre | 51 | 19 | 70 |
| 2018 Septiembre | 19 | 5 | 24 |
| 2018 Julio | 1 | 0 | 1 |
| 2018 Junio | 1 | 0 | 1 |
| 2018 Mayo | 2 | 0 | 2 |
| 2018 Abril | 9 | 0 | 9 |
| 2018 Marzo | 15 | 0 | 15 |
| 2018 Febrero | 5 | 0 | 5 |
| 2018 Enero | 6 | 0 | 6 |
| 2017 Diciembre | 10 | 0 | 10 |
| 2017 Noviembre | 6 | 0 | 6 |
| 2017 Octubre | 7 | 0 | 7 |
| 2017 Septiembre | 9 | 0 | 9 |
| 2017 Agosto | 4 | 0 | 4 |
| 2017 Julio | 7 | 0 | 7 |
| 2017 Junio | 19 | 23 | 42 |
| 2017 Mayo | 18 | 14 | 32 |
| 2017 Abril | 20 | 11 | 31 |
| 2017 Marzo | 22 | 20 | 42 |
| 2017 Febrero | 10 | 17 | 27 |
| 2017 Enero | 7 | 6 | 13 |
| 2016 Diciembre | 22 | 21 | 43 |
| 2016 Noviembre | 31 | 10 | 41 |
| 2016 Octubre | 38 | 8 | 46 |
| 2016 Septiembre | 39 | 9 | 48 |
| 2016 Agosto | 37 | 8 | 45 |
| 2016 Julio | 20 | 12 | 32 |
| 2016 Junio | 3 | 0 | 3 |
| 2016 Mayo | 2 | 0 | 2 |
| 2016 Abril | 2 | 0 | 2 |
| 2016 Marzo | 8 | 0 | 8 |
| 2016 Febrero | 6 | 0 | 6 |
| 2015 Diciembre | 3 | 0 | 3 |
| 2015 Noviembre | 2 | 0 | 2 |
| 2015 Octubre | 1 | 0 | 1 |
| 2015 Septiembre | 3 | 0 | 3 |
| 2015 Agosto | 3 | 0 | 3 |
| 2015 Julio | 10 | 0 | 10 |
| 2015 Junio | 5 | 0 | 5 |
| 2015 Mayo | 12 | 0 | 12 |
| 2015 Abril | 16 | 0 | 16 |
| 2015 Marzo | 13 | 0 | 13 |
| 2015 Febrero | 23 | 0 | 23 |
| 2015 Enero | 9 | 1 | 10 |
| 2014 Diciembre | 20 | 3 | 23 |
| 2014 Noviembre | 7 | 1 | 8 |
| 2014 Octubre | 15 | 0 | 15 |
| 2014 Septiembre | 12 | 3 | 15 |
| 2014 Agosto | 16 | 1 | 17 |
| 2014 Julio | 15 | 1 | 16 |
| 2014 Junio | 20 | 4 | 24 |
| 2014 Mayo | 24 | 1 | 25 |
| 2014 Abril | 22 | 2 | 24 |
| 2014 Marzo | 20 | 9 | 29 |
| 2014 Febrero | 18 | 9 | 27 |
| 2014 Enero | 14 | 6 | 20 |
| 2013 Diciembre | 19 | 9 | 28 |
| 2013 Noviembre | 15 | 9 | 24 |
| 2013 Octubre | 32 | 8 | 40 |
| 2013 Septiembre | 21 | 19 | 40 |
| 2013 Agosto | 15 | 14 | 29 |
| 2013 Julio | 5 | 3 | 8 |
| 2013 Junio | 0 | 3 | 3 |
| 2013 Mayo | 6 | 2 | 8 |
| 2013 Abril | 3 | 3 | 6 |
| 2013 Marzo | 4 | 7 | 11 |
| 2013 Febrero | 27 | 2 | 29 |
| 2013 Enero | 23 | 1 | 24 |
| 2012 Diciembre | 27 | 2 | 29 |
| 2012 Noviembre | 18 | 2 | 20 |
| 2012 Octubre | 17 | 1 | 18 |
| 2012 Septiembre | 2 | 0 | 2 |
| 2000 Noviembre | 3071 | 0 | 3071 |
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