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Iranian Journal of Pediatrics
Tehran University of Medical Sciences Press
ISSN: 1018-4406
EISSN: 2008-2150
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

 en 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

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-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.

Keywords
Recurrent Abdominal Pain; Esophago-Gastro-Deudonoscopy; Hiatus Hernia; Children

 
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