Related Experiment Video

Updated: Feb 4, 2026

An Experimental Paradigm for the Prediction of Post-Operative Pain PPOP
14:56

An Experimental Paradigm for the Prediction of Post-Operative Pain PPOP

Published on: January 27, 2010

22.1K

Algorithm to Predict Which Children With Chronic Abdominal Pain Are Low Suspicion for Significant Endoscopic Findings

Jacob A Mark1,2, Kristen Campbell3, Dexiang Gao3

  • 11 Children's Hospital Colorado, Aurora, CO, USA.

Clinical Pediatrics
|October 12, 2018
PubMed

Insights

A new diagnostic algorithm helps identify children with chronic abdominal pain (CAP). High-suspicion (HS) patients were more likely to have significant intestinal pathology found via endoscopy than low-suspicion (LS) patients.

Area of Science:

  • Pediatric Gastroenterology
  • Clinical Diagnostics

Background:

  • Chronic abdominal pain (CAP) presents a significant challenge in pediatric care.
  • Effective diagnostic strategies are needed to evaluate gastrointestinal causes of CAP.

Purpose of the Study:

  • To develop and validate a diagnostic algorithm for pediatric CAP.
  • To differentiate between low-suspicion (LS) and high-suspicion (HS) patients for significant intestinal pathology.

Main Methods:

  • A diagnostic algorithm was created to categorize pediatric CAP patients.
  • The algorithm was retrospectively applied to 150 outpatients with CAP.
  • Endoscopic findings were analyzed for LS (n=99) and HS (n=51) groups.

Main Results:

  • Significant diagnoses were found in 6% of LS patients versus 34% of HS patients (P < .0001).
  • No celiac disease or inflammatory bowel disease was diagnosed in the LS group.
  • The algorithm effectively stratified patients based on the likelihood of endoscopic findings.

Conclusions:

  • The developed algorithm aids clinicians in approaching pediatric CAP.
  • It helps families understand the probability of finding a cause for CAP through endoscopy based on suspicion level.

Keywords:
colonoscopyendoscopyesophagogastroduodenoscopyfunctional gastrointestinal disorderspediatricpediatric functional abdominal painred flag symptoms

More Related Videos

Demonstration of Cutaneous Allodynia in Association with Chronic Pelvic Pain06:44

Demonstration of Cutaneous Allodynia in Association with Chronic Pelvic Pain

Published on: June 23, 2009

20.4K
Development of Recombinant Proteins to Treat Chronic Pain10:37

Development of Recombinant Proteins to Treat Chronic Pain

Published on: April 11, 2018

10.0K

Related Concept Videos

Predicting Molecular Geometry02:27

Predicting Molecular Geometry

VSEPR Theory for Determination of Electron Pair Geometries
45.8K
Trial and Error and Algorithm01:12

Trial and Error and Algorithm

A problem-solving strategy is a plan of action used to find a solution. Different strategies have distinct action plans. Trial and error involves trying different solutions until one works. For instance, to fix a broken printer, you might check ink levels, ensure the paper tray isn't jammed, and verify the printer's connection to your laptop. This method can be time-consuming but is commonly used. Thomas Edison, for example, used trial and error to find a suitable filament for the light...
420
Finding the Center of Gravity01:03

Finding the Center of Gravity

The center of gravity of a body is an imaginary point where the body's total weight is assumed to be concentrated, and the body is perfectly balanced. The center of the mass of a body is a point at which the whole of the mass of the body appears to be concentrated. If the acceleration due to gravity, g, has the same value at all points on a body, its center of gravity is identical to its center of mass. The center of gravity of homogeneous bodies such as a sphere, cube, or rectangular plate...
4.4K
Abdominal Aorta01:25

Abdominal Aorta

Once the aorta traverses the diaphragmatic plane at the aortic hiatus, it is known as the abdominal aorta. This anatomical structure is positioned leftward of the spinal column, encased within a cocoon of adipose tissue behind the peritoneal cavity. It terminates at the L4 vertebra, where it splits into the common iliac arteries. Prior to this bifurcation, the abdominal aorta gives rise to several vital branches.
The celiac trunk, a singular artery, divides into the left gastric artery, which...
2.3K
Pain01:20

Pain

Pain serves as a critical warning signal that alerts the body to potential or actual harm. When mechanical pressure on the skin is intense, such as from a sharp pinch, the sensation transitions from touch to pain. Similarly, extreme temperatures, like a hot pot handle, convert the sensation of heat into pain. Pain can also result from overstimulation of other senses, such as blinding light, loud noise, or the intense heat from habañero peppers. This ability to sense pain is essential for...
1.4K
Respiratory System Abnormal Finding I: Inspection and Percussion01:30

Respiratory System Abnormal Finding I: Inspection and Percussion

Respiratory system abnormalities are a significant concern in healthcare due to their potential to indicate underlying severe conditions like Chronic Obstructive Pulmonary Disease (COPD), asthma, and pneumonia. These abnormalities can often be detected through physical examination methods like inspection and percussion.
Inspection Findings
During an inspection, several findings may suggest the presence of respiratory distress or disease. Pursed-lip breathing, where exhalation is slowed by...
831