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[Recurrent abdominal pain in children]
J Ryzko1, M Drapiński, J Socha
1Oddziału Gastroenterologii Centrum Zdrowia Dziecka.
Insights
Recurrent abdominal pain in children has diverse causes, including organic, functional, and psychological factors. This study evaluates a diagnostic program
Area of Science:
- Pediatric Gastroenterology
- Clinical Diagnostics
Context:
- Recurrent abdominal pain (RAP) is a common pediatric complaint.
- Children are often referred with suspected organic causes.
- The study analyzes causes in 294 hospitalized children.
Purpose:
- To analyze the causes of recurrent abdominal pain in children.
- To evaluate the effectiveness of the diagnostic program at the Childrens Health Centre (CHC).
Summary:
- Organic causes were diagnosed in 37.8% of children.
- Functional etiology accounted for 32% of cases.
- Psychological backgrounds and mixed causes were identified in 18% and 11.8% respectively.
- The diagnostic program's validity was demonstrated.
Impact:
- Highlights the multifactorial nature of pediatric recurrent abdominal pain.
- Validates a structured diagnostic approach for accurate etiological determination.
- Informs clinical practice for managing children with abdominal pain.
Abstract:
In the paper the results are presented of an analysis of the causes of recurrent abdominal pain in 294 children hospitalized at the Gastroenterology Department, Childrens Health Centre, and the accepted diagnostic programme is evaluated. The children were referred to the CHC, as a rule with a suggestion of organic causes of recurrent abdominal pain. On the basis of carried out examinations the following was diagnosed: in 111 children organic causes (37.8% of the studied group), in 94 children recurrent abdominal pain of functional aetiology (32%), in 53 children psychological background (18%), and in 36 children mixed organic and functional background. These proportions between those groups is the result of the selection carried out at earlier stages of the diagnostic process. In the paper, the correctness and validity of the accepted diagnostic programme are also demonstrated.