Recurrent abdominal pain in 200 children: somatic causes and diagnostic criteria

Autor: Gijsbers, C. F. M., Kneepkens, C. M. F., Schweizer, J. J., Benninga, M. A., Büller, H. A.
Přispěvatelé: Pediatric surgery, Other Research, Amsterdam Gastroenterology Endocrinology Metabolism, Paediatric Gastroenterology
Rok vydání: 2011
Předmět:
Zdroj: Gijsbers, C F M, Kneepkens, C M F, Schweizer, J J, Benninga, M A & Buller, H A 2011, ' Recurrent abdominal pain in 200 children: somatic causes and diagnostic criteria ', Acta Paediatrica, vol. 100, no. 11, pp. E208-E214 . https://doi.org/10.1111/j.1651-2227.2011.02351.x
Acta Paediatrica, 100(11), E208-E214. Wiley-Blackwell
ACTA PAEDIATRICA, 100(11), E208-E214
Acta paediatrica (Oslo, Norway, 100(11), e208-e214. Wiley-Blackwell
ISSN: 0803-5253
DOI: 10.1111/j.1651-2227.2011.02351.x
Popis: To establish to what extent somatic causes can be found in children referred to secondary care with recurrent abdominal pain. For 2 years, all consecutive patients (age 4-16 years) fulfilling Apley criteria, referred to secondary care, were included. After a diagnostic work-up, stepwise therapeutic interventions were performed. A diagnosis was considered to be the cause of the pain when the patient became pain free following therapeutic intervention and remained so for at least 6 months. Two hundred and twenty children (128 F, 92 M; mean age 8.8 years) were enrolled, of which 20 were lost to follow-up. Spontaneous recovery was seen in 54 patients, (occult) constipation in 92 patients (of whom 18 also had a somatic cause), gastrointestinal infections in 40, food allergy in five, miscellaneous disorders in seven and uncertain diagnosis in 13. In five patients, stress most likely caused the pain. A total of 198 patients became pain free and remained so during follow-up (mean 18, range 6-60 months). In 200 children with recurrent abdominal pain, somatic causes were found in 26%. Laxative therapy was successful in 46%, resulting in nearly all patients with functional abdominal pain to become pain free. Eventually, 99% became pain free using a therapeutic intervention protocol
Databáze: OpenAIRE
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