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Cited by 330

The DOI matches its Crossref record; 5 of the 5 references it cites were found in a registry or an index.

Chronic Abdominal Pain In Children: A Technical Report of the American Academy of Pediatrics and the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition: AAP Subcommittee and NASPGHAN Committee on Chronic Abdominal Pain

Di Lorenzo, Carlo, Colletti, Richard B, Lehmann, Horald P, Boyle, John T, Gerson, William T, Hyams, Jeffrey S, Squires, Robert H, Walker, Lynn S, Kanda, Pamela T·2005·Journal of Pediatric Gastroenterology and Nutrition

Abstract

Chronic abdominal pain, defined as long‐lasting intermittent or constant abdominal pain, is a common pediatric problem encountered by primary care physicians, medical subspecialists and surgical specialists. Chronic abdominal pain in children is usually functional‐that is, without objective evidence of an underlying organic disorder. The Subcommittee on Chronic Abdominal Pain of the American Academy of Pediatrics and the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition has prepared this report based on a comprehensive, systematic review and rating of the medical literature. This report accompanies a clinical report based on the literature review and expert opinion. The subcommittee examined the diagnostic and therapeutic value of a medical and psychologic history, diagnostic tests, and pharmacological and behavioral therapy. The presence of alarm symptoms or signs (such as weight loss, gastrointestinal bleeding, persistent fever, chronic severe diarrhea and significant vomiting) is associated with a higher prevalence of organic disease. There was insufficient evidence to state that the nature of the abdominal pain or the presence of associated symptoms (such as anorexia, nausea, headache and joint pain) can discriminate between functional and organic disorders. Although children with chronic abdominal pain and their parents are more often anxious or depressed, the presence of anxiety, depression, behavior problems or recent negative life events does not distinguish between functional and organic abdominal pain. Most children who are brought to the primary care physician's office for chronic abdominal pain are unlikely to require diagnostic testing. Pediatric studies of therapeutic interventions were examined and found to be limited or inconclusive.

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Metadata

Authors
Di Lorenzo, C., Colletti, R. B., Lehmann, H. P., Boyle, J. T., Gerson, W. T., Hyams, J. S., Squires, R. H., Walker, L. S., & Kanda, P. T.
Venue
Journal of Pediatric Gastroenterology and Nutrition
Publisher
Wiley
Published
2005-03
Volume
40
Issue
3
Pages
249-261
ISSN
  • 0277-2116 (ISSN-L)
  • 1536-4801
OpenAlex
W1591865274
Cited by
330
References
5
FWCI
8.55
Type
journal article
Language
en
Open access
closed

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