Endoscopic Examinations in Children with Recurrent Abdominal Pain

Much difficulties are often encountered in finding the underlying cause of recurrent abdominal pain. Clinical features may vary from one patient to the other and occasionally from one episode to the next even in the same child. The recent development of fibre optic endoscopy may well prove to have a useful diagnostic technique, particularly in those children in whom other investigations are inconclusive. The result of endoscopic examinations in children with recurrent abdominal pain comprising of 62 children aged between 3-13 years were as follows: erosion in 7 children, oesophagi tis in 4 children, duodenitis in 3 children, spasm of the pylorus in 2 children, and normal findings were found in 30 children. Of the 30 patients with "normal" endoscopic findings, 7 had psychosomatic problems, 4 had allergy, 4 had urinary tract infection, 2 showed giardiasis, one had epilepsy, 1 was treated as pulmonary tuberculosis, where as in 11 patients organic as well as nonorganic abnormalities could not be found. There seem to be of no significant correlation between the endocopic and upper gastrointestinal series findings. Endoscopy seem to be of a safe and reliable tool in the diagnosis of a number of organic intestinal lesions otherwise not detected by ordinary investigations.

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Letter To The Editor

PEDIATRICS ◽

10.1542/peds.46.6.968b ◽

1970 ◽

Vol 46 (6) ◽

pp. 968-968

Author(s):

William Feldman

Keyword(s):

Irritable Bowel Syndrome ◽

Abdominal Pain ◽

Recurrent Abdominal Pain ◽

Upper Gastrointestinal Series ◽

Gastrointestinal Series ◽

Letter To The Editor ◽

Irritable Bowel ◽

Upper Gastrointestinal

I take issue with many of the points raised in Drs. Stone and Barbero's article on recurrent abdominal pain.1 First, their conclusion that recurrent abdominal pain in childhood is a form of "the irritable bowel syndrome" is not helpful-it is like substituting the word idiopathic for unknown. Second, they exposed their patients to considerable irradiation-102 upper gastrointestinal series and barium enemas were done. All of these examinations were normal, as anyone who has dealt with recurrent abdominal pain in childhood might have predicted.

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Duodenal imaging on the spotlight: from A to Z

Insights into Imaging ◽

10.1186/s13244-021-01045-y ◽

2021 ◽

Vol 12 (1) ◽

Author(s):

Carolina Terra ◽

Daniel Ramos-Andrade ◽

Ivo Sá-Marques ◽

Jorge Brito ◽

Filipe Caseiro-Alves ◽

...

Keyword(s):

Imaging Features ◽

Upper Gastrointestinal Series ◽

Alphabetical Order ◽

Gastrointestinal Series ◽

Local Extension ◽

General Radiologist ◽

Gastrointestinal Radiology ◽

Close Proximity ◽

Inflammatory Processes ◽

Upper Gastrointestinal

AbstractAbdominal computed tomography (CT) is frequently performed to evaluate gastrointestinal pathologic conditions. The majority of the gastrointestinal radiology literature has concentrated on the colon, stomach, and distal small bowel. The duodenum is often overlooked on imaging, namely on CT, but its anatomy (intra and retroperitoneal) and location in such close proximity to other viscera results in involvement by a multitude of primary and secondary processes, some of them exclusive to this bowel segment. While some conditions, like duplications, lipomas, and diverticula, are usually asymptomatic and are incidentalomas that have no pathologic significance, others are symptomatic and very relevant and should be recognized by every general radiologist: development conditions such as annular pancreas and gut malrotation; inflammatory processes such as ulcers and secondary involvement from pancreatitis; neoplastic conditions such as adenocarcinoma, lymphoma, or local extension from adjacent malignancies. They all can be reliably diagnosed with CT. In this article, we demonstrate the typical imaging features of various diseases involving the duodenum, such as developmental, traumatic, inflammatory, infectious, neoplastic, and postsurgical pathologic conditions in alphabetical order, focusing mainly on upper gastrointestinal series (UGIS) and CT but also some radiography, ultrasound, and magnetic resonance (MR) imaging.

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