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KMID : 0371619980140020235
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Journal of Wonkwang Medical Science
1998 Volume.14 No. 2 p.235 ~ p.241
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Clinical Characteristic of Recurrent Abdominal Pain in Children
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Oh Man-Tak
Oh Kwang-Soo
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Abstract
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This study attempted to analysis clinical and diagnostic characteristics of 61 patients with recurrent abdominal pain(RAP) in children, from January, 1992 to July, 1997 at the department of Pediatrics, Wonkwang University hospital. The result were summarized as follows :
1) Sixty-one children ranging in age from 2 to 15 years was examined. It showed more frequently in girls than in boys(M:F=2:3) and showed 10 to 15 years of age in 38(62.4%), 5 to 15 years of age in 18(29.5%), below 5 years of age in 5(8.2%). The peak age was 11 to 15 years of age.
2) The pain was predominantly epigastric in 24(39.3%), periumbilicus 13(21.3%), right lower abdomen 6(9.8%), and left lower abdomen in 6(9.8%) in order of frequency.
3) Additional complaints, e.g, vomiting 16(26.2%), headache 9(14.7%), constipation 8(13.1%), occurred at or between the episodes of abdominal pain.
4) Upper gastrointestinal endoscopy was performed in 47 of 61 children with RAP, showed acute gastritis in 19(40.4%), duodenitis in 6(12.8%), gastric ulcer in 3(6.4%), duodenal ulcer 2(4.3%), and chronic superficial gastritis and esophagitis in 1(2.3%), respectively.
5) Helicobacter pylori infection was revealed in 3(33.3%) of 9 children who performed rapid urease test(CLO test).
6) Of the 20 patients who examined with upper gastrointestinal barium(UGI) study and upper gastrointerstinal(UGI) endoscopy, 11(55%) had normal finding in both of two studies, 6(30%) with normal findings in UGI barium study were found to erosive gastritis in UGI endoscopy, and 3 with duodenitis, gastric ulcer, and chronic superficial gastritis were found to gastroduodenitis, chronic superficial gastritis, and acute hemorrhagic gastritis in UGI endoscopy, respectively.
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KEYWORD
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Recurrent abdominal pain, H. pylori
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