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.

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