Long-term opioid treatment in Behçet's syndrome with intractable abdominal pain - A case report

Hsiang Chien Tseng, Yeong Ray Wen, Jui Yuan Chen, Chia Ling Lee, Gong Jhe Wu, Yi Chang, Shan Chung Swei

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Opioids are the most potent and effective analgesics available for treating acute and chronic cancer pain, but its usefulness in treating non-cancer chronic pain is still controversial. We report a 23-year-old male suffering from Behçet's disease with persistent excruciating abdominal pain. Oral non-steroid anti-inflammation analgesics and milder opioids (codeine and tramadol) failed to relieve the pain. His excruciating abdominal pain resulting from ulcerative viscera aggravated with repeated gastrointestinal tract surgeries. Intravenous morphine given through patient-controlled analgesia (PCA) could effectively reduce his pain with minimal side effects. No sign of physical or psychological dependence was observed during the period of opiate administration, and no withdrawal phenomenon was found as the dosage was tapered. During the total treatment course of 213 days, the daily dose of morphine once surged up to 259.2 mg. The long-term opioid treatment and its possible effects are, herein, discussed.

Original languageEnglish
Pages (from-to)143-148
Number of pages6
JournalActa Anaesthesiologica Sinica
Volume40
Issue number3
Publication statusPublished - Sep 2002
Externally publishedYes

Fingerprint

Intractable Pain
Abdominal Pain
Opioid Analgesics
Chronic Pain
Morphine
Opiate Alkaloids
Pain
Tramadol
Patient-Controlled Analgesia
Codeine
Viscera
Psychological Stress
Analgesics
Gastrointestinal Tract
Therapeutics
Psychology
Inflammation

Keywords

  • Abdominal pain
  • Analgesics, opioid-related disorders
  • Behçet's syndrome

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Tseng, H. C., Wen, Y. R., Chen, J. Y., Lee, C. L., Wu, G. J., Chang, Y., & Swei, S. C. (2002). Long-term opioid treatment in Behçet's syndrome with intractable abdominal pain - A case report. Acta Anaesthesiologica Sinica, 40(3), 143-148.

Long-term opioid treatment in Behçet's syndrome with intractable abdominal pain - A case report. / Tseng, Hsiang Chien; Wen, Yeong Ray; Chen, Jui Yuan; Lee, Chia Ling; Wu, Gong Jhe; Chang, Yi; Swei, Shan Chung.

In: Acta Anaesthesiologica Sinica, Vol. 40, No. 3, 09.2002, p. 143-148.

Research output: Contribution to journalArticle

Tseng, HC, Wen, YR, Chen, JY, Lee, CL, Wu, GJ, Chang, Y & Swei, SC 2002, 'Long-term opioid treatment in Behçet's syndrome with intractable abdominal pain - A case report', Acta Anaesthesiologica Sinica, vol. 40, no. 3, pp. 143-148.
Tseng, Hsiang Chien ; Wen, Yeong Ray ; Chen, Jui Yuan ; Lee, Chia Ling ; Wu, Gong Jhe ; Chang, Yi ; Swei, Shan Chung. / Long-term opioid treatment in Behçet's syndrome with intractable abdominal pain - A case report. In: Acta Anaesthesiologica Sinica. 2002 ; Vol. 40, No. 3. pp. 143-148.
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