scholarly journals Relation Between Clinical Symptoms and Experimental Visceral Hypersensitivity in Pediatric Patients With Functional Abdominal Pain

2008 ◽  
Vol 47 (3) ◽  
pp. 309-315 ◽  
Author(s):  
Julia L Anderson ◽  
Sari Acra ◽  
Stephen Bruehl ◽  
Lynn S Walker
2021 ◽  
Vol 160 (6) ◽  
pp. S-383
Author(s):  
Rachel Borlack ◽  
Amanda M. Zong ◽  
Sophie Shan ◽  
Julie Khlevner ◽  
Garbers Samantha ◽  
...  

Nutrients ◽  
2018 ◽  
Vol 10 (10) ◽  
pp. 1491 ◽  
Author(s):  
Alejandro Llanos-Chea ◽  
Alessio Fasano

In children, functional gastrointestinal disorders (FGIDs) are common at all ages. Consumption of certain foods, particularly gluten, is frequently associated with the development and persistence of FGIDs and functional abdominal pain disorders (FAPDs) in adults and children. However, this association is not well defined. Even without a diagnosis of celiac disease (CD), some people avoid gluten or wheat in their diet since it has been shown to trigger mostly gastrointestinal symptoms in certain individuals, especially in children. The incidence of conditions such as non-celiac gluten sensitivity (NCGS) is increasing, particularly in children. On the other hand, CD is a chronic, autoimmune small intestinal enteropathy with symptoms that can sometimes be mimicked by FAPD. It is still unclear if pediatric patients with irritable bowel syndrome (IBS) are more likely to have CD. Abdominal, pain-associated FGID in children with CD does not seem to improve on a gluten-free diet. The threshold for gluten tolerance in patients with NCGS is unknown and varies among subjects. Thus, it is challenging to clearly distinguish between gluten exclusion and improvement of symptoms related solely to functional disorders.


2019 ◽  
Vol 2 (2) ◽  
pp. e000009
Author(s):  
Koshiro Sugita ◽  
Takafumi Kawano ◽  
Mukai Motoi ◽  
Toshihiro Muraji ◽  
Shun Onishi ◽  
...  

PurposeAn early diagnosis of ovarian torsion is sometimes difficult due to variable clinical symptoms and non-specific imaging findings. We retrospectively reviewed patients with pediatric ovarian masses manifesting torsion.MethodsFifty-eight ovarian masses (55 episodes) in 49 non-neonatal patients treated from April 1984 to March 2017 were retrospectively analyzed. The Mann-Whitney U test and Fisher’s exact test were used for the statistical analysis.ResultsThe median age of these 55 episodes was 10.5 years old (range 1.0–23.0). Thirty-three patients presented with abdominal pain. Forty-five tumors and 13 cystic masses were resected and diagnosed pathologically (50 benign and 8 malignant). Torsion was identified in 15 cases (25.9%) at operation. The torsion masses were all benign, and 8 ovaries (53.3%) were successfully preserved. Comparing the torsion cases with the non-torsion cases, only the white cell count was significantly higher in the torsion cases (p=0.0133) and in the patients presented with abdominal pain (p=0.0068). The duration of abdominal pain was significantly shorter in ovary preserved cases than in oophorectomy cases.ConclusionThe white blood cell may be a helpful indicator of the presence of torsion as well as the need for surgery.


2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Amanda L. Stone ◽  
Gloria T. Han ◽  
Stephen Bruehl ◽  
Judy Garber ◽  
Craig A. Smith ◽  
...  

2018 ◽  
Vol 154 (6) ◽  
pp. S-563
Author(s):  
Elizabeth Burch ◽  
Julie Snyder ◽  
Neil L. Schechter ◽  
Beate C. Beinvogl ◽  
Karen Warman ◽  
...  

Pain ◽  
2011 ◽  
Vol 152 (5) ◽  
pp. 1061-1067 ◽  
Author(s):  
Joy E. Beck ◽  
Tricia A. Lipani ◽  
Kari F. Baber ◽  
Lynette Dufton ◽  
Judy Garber ◽  
...  

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