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Current Issues in the Management of Pediatric Functional Abdominal Pain

Claudio Romano1, Federica Porcaro

  • 1Pediatric Department, University of Messina, Italy. romanoc@unime.it.

Reviews on Recent Clinical Trials
|April 25, 2014
PubMed

Insights

Chronic abdominal pain (CAP) affects 12% of children, impacting their quality of life. This review updates diagnostic criteria and management for pediatric CAP, a condition linked to brain-gut axis dysfunction.

Area of Science:

  • Pediatric Gastroenterology
  • Functional Gastrointestinal Disorders
  • Neurogastroenterology

Background:

  • Chronic abdominal pain (CAP) is a prevalent functional gastrointestinal disorder (FGID) in children (2-18 years), affecting 12% of this population.
  • CAP is hypothesized to stem from brain-gut axis dysfunction, influenced by biological, psychological, and social factors.
  • Children with CAP experience reduced quality of life, comparable to those with organic conditions like inflammatory bowel disease.

Purpose of the Study:

  • To update diagnostic criteria for pediatric chronic abdominal pain.
  • To provide guidance on follow-up and treatment strategies for pediatric CAP.
  • To emphasize the importance of the Rome III criteria for clinical diagnosis.

Main Methods:

  • Review of updated diagnostic criteria for pediatric functional abdominal pain.
  • Analysis of factors contributing to the brain-gut axis dysfunction in CAP.
  • Discussion of treatment and follow-up protocols for children with CAP.

Main Results:

  • CAP significantly impairs quality of life in children.
  • Approximately 30% of pediatric CAP cases persist, posing a risk for adult irritable bowel syndrome.
  • Standardized diagnostic criteria and appropriate follow-up are crucial for effective management.

Conclusions:

  • Updated diagnostic criteria and management strategies are essential for pediatric CAP.
  • Early and accurate diagnosis using tools like Rome III criteria can improve patient outcomes.
  • Further research is needed to understand the economic impact of pediatric CAP.

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