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The value of the abdominal radiograph in children with functional gastrointestinal disorders
Marloes E J Bongers1, Wieger P Voskuijl, Rick R van Rijn
1Department of Pediatric Gastroenterology and Nutrition, Academic Medical Centre, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands. mbongers@uva.amc.nl
Insights
Abdominal X-rays have limited value in diagnosing childhood functional gastrointestinal disorders like constipation and incontinence. This review evaluates methods for assessing fecal loading on radiographs.
Area of Science:
- Pediatric Gastroenterology
- Diagnostic Imaging
Background:
- Functional gastrointestinal disorders (FGIDs) are prevalent in children.
- Symptoms range from mild abdominal pain to severe fecal impaction and incontinence.
Purpose of the Study:
- To review and assess the utility of abdominal radiography in diagnosing pediatric FGIDs.
- Evaluate methods for determining fecal loading using radiographs, with or without markers.
Main Methods:
- Review of existing literature on radiographic assessment of fecal loading.
- Analysis of diagnostic value in functional abdominal pain, constipation, and incontinence.
Main Results:
- Abdominal radiography shows limited effectiveness in the diagnostic work-up of pediatric FGIDs.
- Radiographic assessment of fecal loading has questionable diagnostic value.
Conclusions:
- Abdominal X-rays are not a highly valuable tool for diagnosing functional gastrointestinal disorders in children.
- Further research may be needed to establish reliable diagnostic imaging methods.
Abstract:
Functional gastrointestinal disorder is a common problem in childhood. The symptoms vary from a relative mild gastrointestinal problem such as abdominal pain or infrequent defecation to severe problems with fecal impaction and fecal incontinence. The aim of this review is to describe and evaluate the value of the different existing methods to assess fecal loading on an abdominal radiograph with or without the use of radio-opaque markers in the diagnosis of functional abdominal pain, functional constipation and functional non-retentive fecal incontinence. In our opinion, the abdominal radiograph has limited value in the diagnostic work-up of children with functional gastrointestinal disorders.
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