Home > Riviste > Minerva Pediatrica > Fascicoli precedenti > Minerva Pediatrica 2017 August;69(4) > Minerva Pediatrica 2017 August;69(4):239-44

ULTIMO FASCICOLO
 

ARTICLE TOOLS

Publication history
Estratti
Per citare questo articolo

MINERVA PEDIATRICA

Rivista di Pediatria, Neonatologia, Medicina dell’Adolescenza
e Neuropsichiatria Infantile


Indexed/Abstracted in: CAB, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 0,764


eTOC

 

ORIGINAL ARTICLE  


Minerva Pediatrica 2017 August;69(4):239-44

DOI: 10.23736/S0026-4946.16.04247-X

Copyright © 2016 EDIZIONI MINERVA MEDICA

lingua: Inglese

Recurrent abdominal pain in children: underlying pathologies in the absence of “alarm” symptoms

Carlo TOLONE 1 , Valeria PELLINO 1, Margherita PICCIRILLO 1, Mariarosaria LETIZIA 1, Ivano BELFIORE 1, Salvatore TOLONE 2

1 Department of Pediatrics, Second University of Naples, Naples, Italy; 2 Department of General Surgery, Second University of Naples, Naples, Italy


PDF  


BACKGROUND: Recurrent abdominal pain (RAP) is a common disorder in childhood. However, it is not clear what the incidence of organic disease is, in the absence of “alarm” symptoms or signs. The aim of this study was to clarify if the performance of diagnostic tests can be useful in revealing underlying organic disorders.
METHODS: The participants were 4- to 16-year-old children, who had been referred to our tertiary care pediatric center. A total of 98 children (48 males, 50 females) with RAP but without any alarm symptoms or signs were selected. In the 98 selected children, the performance of diagnostic tests for suspected organic diseases was recommended.
RESULTS: Fourteen children refused diagnostic tests. Forty-eight out of 84 children with RAP without any alarm symptoms and signs received a diagnosis of organic disease. Nineteen (22.6%) patients resulted positive for lactose intolerance. Seventeen patients (20.2%) were affected by celiac disease. Two (2.4%) patients were positive for cow milk allergy. Nine (10.7%) patients resulted positive for ureteral calculosis. One (1.2%) was affected by teniasis. Thirty-three children of the 38 children tested positive for lactose intolerance, celiac disease or cow-milk allergy were completely symptom-free at the 6 months follow-up and the remaining five patients reported a significant lower mean level of pain severity overall. Seven of 9 children with calculosis improved symptomatology. At the next follow-up six children were again suffering from RAP.
CONCLUSIONS: Children with RAP should be referred to pediatric gastroenterologists if symptoms persist; testing should be performed even in the absence of alarm signs because of the high prevalence of underlying organic pathologies.


KEY WORDS: Abdominal pain - Routine diagnostic tests - Digestive signs and symptoms

inizio pagina

Publication History

Issue published online: June 7, 2017
Article first published online: January 8, 2016
Manuscript accepted: January 4, 2016
Manuscript revised: December 17, 2015
Manuscript received: January 5, 2015

Per citare questo articolo

Tolone C, Pellino V, Piccirillo M, Letizia M, Belfiore I, Tolone S. Recurrent abdominal pain in children: underlying pathologies in the absence of “alarm” symptoms. Minerva Pediatr 2017;69:239-44. DOI: 10.23736/S0026-4946.16.04247-X

Corresponding author e-mail

carlo.tolone@unina2.it