Iranian Journal of Pediatrics
Tehran University of Medical Sciences Press
Vol. 22, No. 3, 2012, pp. 309-313
Bioline Code: pe12057
Full paper language: English
Document type: Research Article
Document available free of charge
Iranian Journal of Pediatrics, Vol. 22, No. 3, 2012, pp. 309-313
© Copyright 2012 - Iranian Journal of Pediatrics
Upper Endoscopic Findings in Children with Recurrent Abdominal Pain: High Prevalence of Hiatus Hernia|
Motamed, Farzaneh; Norouzi, Sayna; Najafi, Mehri; Khodadad, Ahmad; Farahmand, Fatemeh; Mossahebi, Sara & Heidari-Bateni, Giv
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-gastrodeudonoscopy.
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-gastrodeudonoscopy
without indication in patients with recurrent abdominal pain.
Recurrent Abdominal Pain; Esophago-Gastro-Deudonoscopy; Hiatus Hernia; Children
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