Upper Endoscopic Findings in Children with Recurrent Abdominal Pain: High Prevalence of Hiatus Hernia

Sara Mossahebi; Giv Heidari-Bateni; Fatemeh Farahmand; Ahmad Khodadad; Farzaneh Motamed; Mehri Najafi; Sayna Norouzi

IJ Pediatrics

The Scientific Journal of Growth & Development Research Center

Outlines

Abstract
References
Copyright

Upper Endoscopic Findings in Children with Recurrent Abdominal Pain: High Prevalence of Hiatus Hernia

Author(s):

Sara Mossahebi¹,

Giv Heidari-Bateni¹,

Fatemeh Farahmand²,

Ahmad Khodadad³,

Farzaneh Motamed³,

Mehri Najafi³,

Sayna Norouzi^4,*

1Pediatrics Center of Excellence, Children's Medical Center, Tehran, Iran

3Department of Pediatrics, Tehran University of Medical Sciences, Tehran & Pediatrics Center of Excellence, Children's Medical Center, Tehran & Growth and Development Research Center, Tehran University of Medical Sciences, Tehran, Iran

3Department of Pediatrics, Tehran University of Medical Sciences, Tehran & Pediatrics Center of Excellence, Children's Medical Center, Tehran, Iran

4Pediatrics Center of Excellence, Children's Medical Center, Tehran, Iran, Iran

IJ Pediatrics:Vol. 22, issue 3; 309-313

Published online:Sep 30, 2012

Article type:Research Article

Received:Apr 25, 2012

Accepted:Feb 16, 2012

How to Cite:Sara MossahebiGiv Heidari-BateniFatemeh FarahmandAhmad KhodadadFarzaneh MotamedMehri NajafiSayna Norouziet al.Upper Endoscopic Findings in Children with Recurrent Abdominal Pain: High Prevalence of Hiatus Hernia.Iran J Pediatr.22(3):309-313.

Abstract

Objective: Recurrent abdominal pain (RAP) by itself is one of the common reasons in child-aged patients to refer to a clinician. Some of these patients are presented with more serious features, so-called the “red flag”. The most important issue in management of RAP is to distinguish the type of it, whether it is functional or organic. In this study we aimed to assess the redundancy of red-flagged RAP with findings of esophago-gastro-deudonoscopy.
Methods: In a 2 year prospective study 150 consecutive children with RAP who showed red flags underwent esophago-gastro-deudonoscopy. The prevalence of each finding was recorded. Overall positive predictive value of predicting an endoscopic finding while having a red-flag was calculated.
Findings: Among all the patients, 126 cases showed at least a positive finding in their endoscopy that corresponded to the positive predictive value of 84% for predicting the presence of an endoscopic finding according to red flags. Interestingly, 20% of patients showed hiatus hernia when surveyed.
Conclusion: Comprehensive physical examination is needed to avoid performing esophago-gastro-deudonoscopy without indication in patients with recurrent abdominal pain.

Keywords

Recurrent Abdominal Pain

Esophago-Gastro-Deudonoscopy

Hiatus Hernia

Children

Fulltext

Click here to download PDF.

References

1.
References are available in PDF.

comments