The prognostic value of obtaining a negative endoscopy in children with functional gastrointestinal disorders.

Abstract:

OBJECTIVES:Functional gastrointestinal disorders (FGIDs) are common. Diagnosis is based on the Rome criteria. It has been argued that performing endoscopies could help by providing reassurance and thus improve outcomes. This study was conducted to evaluate the impact of obtaining normal endoscopies in the outcome of children with FGIDs. METHODS:Medical records of patients diagnosed with abdominal pain related-FGIDs were reviewed. To assess the child's symptoms at follow-up, parents completed the Questionnaire on Pediatric Gastrointestinal Symptoms III (QPGS III). Primary outcome was presence of abdominal pain (AP) and secondary outcomes were AP severity. RESULTS:A total of 301 patients were diagnosed with abdominal pain-related FGIDs. Overall, 62.6% reported persistence of AP and 37.4% were asymptomatic at follow-up. Among patients with endoscopies, 61% reported AP. Among patients without endoscopies, 64% were symptomatic (P = .76). AP frequency, AP intensity, and child's disability were similar in those with and without endoscopies. CONCLUSION:The study does not suggest that a negative endoscopy improves the outcome of children with FGIDs.

journal_name

Clin Pediatr (Phila)

journal_title

Clinical pediatrics

authors

Bonilla S,Deli Wang,Saps M

doi

10.1177/0009922810392773

subject

Has Abstract

pub_date

2011-05-01 00:00:00

pages

396-401

issue

5

eissn

0009-9228

issn

1938-2707

pii

0009922810392773

journal_volume

50

pub_type

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