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Updated: Jul 22, 2026
04:03
Application of Laparoscopic Ultrasonography in Primary Choledochal Suture during Combined Two-lens Surgery
Published on: March 28, 2025
[Laparoscopy in chronic abdominal pain in children]
J A Blanco1, J M Casasa, A Castellví
1Servicio de Cirugía Pediátrica del Hospital Universitario Germans Trias i Pujol, Badalona.
Summary
Recurrent chronic abdominal pain (RAP) in children often has non-organic causes. Laparoscopy proved useful in diagnosing and treating 14.45% of pediatric RAP cases, highlighting the need for continued etiological investigation.
Area of Science:
- Pediatric Gastroenterology
- Surgical Diagnostics
Context:
- Recurrent chronic abdominal pain (RAP) is a common pediatric condition, frequently attributed to functional or psychological origins.
- Organic causes are often overlooked, despite their potential impact on patient outcomes.
Purpose:
- To evaluate the diagnostic and therapeutic utility of laparoscopy in pediatric patients presenting with recurrent chronic abdominal pain.
- To investigate the etiological spectrum of RAP in a cohort of children aged 5-14 years.
Summary:
- A study of 304 pediatric patients with RAP revealed various underlying causes, including inappropriate feeding diets (23.4%), Helicobacter pylori (10.1%), and adenoid/pharyngeal issues (6.5%).
- Gynecological origins and psychological factors were identified in 6.5% and 5.9% of cases, respectively.
- Laparoscopy was indicated in 14.45% (44) of patients, demonstrating its value in diagnosing and managing specific cases of RAP.
Impact:
- Laparoscopy provided diagnostic and therapeutic benefits for 14.45% of pediatric RAP patients, underscoring its role in cases with suspected organic pathology.
- The findings emphasize the importance of thorough etiological investigation and long-term follow-up for successful RAP management.
- This study contributes to understanding the diverse causes of pediatric RAP and the efficacy of surgical intervention in select cases.
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