Reports from a large, prospective study in paediatric patients suggest that oesophagogastroduodenoscopy is valuable for diagnosis in children with chronic abdominal pain. Nonetheless, the vast majority of children with chronic abdominal pain will have a functional gastrointestinal disorder, and no test is needed to achieve this diagnosis.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 12 print issues and online access
$209.00 per year
only $17.42 per issue
Buy this article
- Purchase on Springer Link
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
References
Thakkar, K., Chen, L., Tessier, M. E. & Gilger, M. A., Outcomes of children following esophagogastroduodenoscopy for chronic abdominal pain. Clin. Gastroenterol. Hepatol. http://dx.doi.org/10.1016/j.cgh.2013.08.041.
Lane, M. M., Weidler, E. M., Czyzewski, D. I. & Shulman, R. J. Pain symptoms and stooling patterns do not drive diagnostic costs for children with functional abdominal pain and irritable bowel syndrome in primary or tertiary care. Pediatrics 123, 758–764 (2009).
Di Lorenzo, C. et al. Chronic abdominal pain in children: a clinical report of the American Academy of Pediatrics and the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition. J. Pediatr. Gastroenterol. Nutr. 40, 245–248 (2005).
Rasquin, A. et al. Childhood functional gastrointestinal disorders: child/adolescent. Gastroenterology 130, 1527–1537 (2006).
Dhroove, G., Chogle, A. & Saps, M. A million-dollar work-up for abdominal pain: is it worth it? J. Pediatr. Gastroenterol. Nutr. 51, 579–583 (2010).
Bonilla, S., Wang, D. & Saps, M. The prognostic value of obtaining a negative endoscopy in children with functional gastrointestinal disorders. Clin. Pediatr. (Phila.) 50, 396–401 (2011).
Sherman, P. M. et al. A global, evidence-based consensus on the definition of gastroesophageal reflux disease in the pediatric population. Am. J. Gastroenterol. 104, 1278–1295 (2009).
Vandenplas, Y. et al. Pediatric gastroesophageal reflux clinical practice guidelines: joint recommendations of the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition (NASPGHAN) and the European Society for Pediatric Gastroenterology, Hepatology, and Nutrition (ESPGHAN). J. Pediatr. Gastroenterol. Nutr. 49, 498–547 (2009).
Koletzko, S. et al. Evidence-based guidelines from ESPGHAN and NASPGHAN for Helicobacter pylori infection in children. J. Pediatr. Gastroenterol. Nutr. 53, 230–243 (2011).
Saps, M. et al. Multicenter, randomized, placebo-controlled trial of amitriptyline in children with functional gastrointestinal disorders. Gastroenterology 137, 1261–1269 (2009).
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Competing interests
The author declares no competing financial interests.
Rights and permissions
About this article
Cite this article
Di Lorenzo, C. EGD for children with abdominal pain: the jury is still out. Nat Rev Gastroenterol Hepatol 10, 701–703 (2013). https://doi.org/10.1038/nrgastro.2013.214
Published:
Issue Date:
DOI: https://doi.org/10.1038/nrgastro.2013.214