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[Motility disorders in oesophageal manometry in children with chronic abdominal pain]

Mirosława Uścinowicz1, Elzbieta Jarocka-Cyrta, Maciej Kaczmarski

  • 1III Klinika Chorób Dzieci Akademii Medycznej w Białymstoku. mirusc@go2.pl

Polski Merkuriusz Lekarski : Organ Polskiego Towarzystwa Lekarskiego
|April 13, 2004
PubMed

Insights

Oesophageal manometry revealed motility disorders in most children with chronic abdominal pain and gastritis. These findings highlight the role of oesophageal dysfunction in paediatric abdominal pain, particularly in functional dyspepsia.

Area of Science:

  • Gastroenterology and Paediatrics
  • Digestive Physiology
  • Clinical Diagnostics

Context:

  • Chronic abdominal pain is a common paediatric issue, often linked to gastrointestinal motility problems.
  • Oesophageal manometry is a diagnostic tool used to assess oesophageal function.
  • Previous research suggests a connection between upper gastrointestinal motility and abdominal pain in children.

Purpose:

  • To evaluate the frequency of oesophageal manometry abnormalities in children experiencing chronic abdominal pain.
  • To compare oesophageal motility patterns in children with functional abdominal pain (dyspepsia, IBS, non-specific pain) and gastritis against a healthy control group.

Summary:

  • Oesophageal manometry studies were conducted on 40 children with functional abdominal pain, 11 with gastritis, and 24 controls.
  • Abnormalities in lower oesophageal sphincter (LES) function and oesophageal body motility were significantly more frequent in children with abdominal pain and gastritis compared to controls.
  • Specific motility disorders were observed in 72.5% of functional abdominal pain patients and 45.5% of gastritis patients, with higher rates in functional dyspepsia.

Impact:

  • This study demonstrates a high prevalence of oesophageal motility disorders in children with chronic abdominal pain and gastritis.
  • Findings suggest that oesophageal manometry can identify underlying functional abnormalities contributing to paediatric abdominal pain.
  • The results emphasize the importance of considering upper gastrointestinal motility in the diagnostic workup of children with persistent abdominal discomfort.

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