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[Pathologic childhood aerophagia].

N Delaperrière1, M Orega, C Maurage

  • 1Service de pédiatrie R, hôpital Clocheville, CHU de Tours, 37044 Tours, France. nadege.delaperriere@chu-brest.fr

Archives De Pediatrie : Organe Officiel De La Societe Francaise De Pediatrie
|November 23, 2006
PubMed
Summary
This summary is machine-generated.

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Childhood aerophagia, or "air swallowing," is frequently misdiagnosed. Early, multidisciplinary diagnosis and care are crucial for better outcomes in affected children.

Area of Science:

  • Pediatric Gastroenterology
  • Functional Gastrointestinal Disorders

Context:

  • "Air swallowing" (aerophagia) is recognized within functional gastrointestinal disorders per the Rome criteria.
  • It is often misdiagnosed in children, especially those without cognitive or neuromuscular impairments.

Purpose:

  • To identify children with aerophagia.
  • To document treatment progress for this condition.

Summary:

  • A retrospective study analyzed 13 children (10 boys, 3 girls, aged 2.5-10 years) presenting with chronic abdominal pain or distension.
  • Diagnosis involved observing air swallowing and noting gastric distension on X-rays; investigations were consistently normal.
  • Twelve of 13 children showed favorable outcomes after an average of 28 months of multidisciplinary treatment involving various specialists.

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Impact:

  • Pathological childhood aerophagia is underdiagnosed, leading to delayed treatment and increased patient/family anxiety.
  • Increased awareness among pediatricians, psychiatrists, and surgeons is needed.
  • Early diagnosis and a coordinated, multidisciplinary approach are essential for effective management.