Functional gastrointestinal disorders: Past and present

Rana Fayez Ammoury, Marian Pfefferkorn, Joseph Croffie

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Background: Chronic abdominal pain is a common complaint in childhood and adolescence. Despite decades of clinical observations and research, it still poses a challenge to pediatric health care professionals. The aim of this review is to highlight the epidemiology of pediatric chronic abdominal pain and to describe the pathogenesis of this disorder, its clinical manifestations, evaluation and therapeutic options. Data sources: Articles on chronic abdominal pain in the recent years from PubMed, MEDLINE, and reference textbooks were reviewed. Results: Chronic abdominal pain, a functional gastrointestinal disorder (FGID), is a multifactorial condition that results from a complex interaction between psychosocial and physiologic factors via the brain-gut axis. A thorough history coupled with a complete physical examination and normal screening studies rule out an organic cause in 95% of the cases. It is highly important for the physician to establish a trusting relationship with the child and parents because successful treatment including modification of physical and psychological stress factors, dietary changes, and drug therapy depends greatly on education, reassurance and active psychological support. Conclusions: FGIDs are a cause of great anxiety, distress and morbidity in children as well as adults. As our understanding of these conditions improves, our therapeutic interventions will progress not only to overcome them but also to intervene early in the disease course so as to limit long-term impact.

Original languageEnglish
Pages (from-to)103-112
Number of pages10
JournalWorld Journal of Pediatrics
Volume5
Issue number2
DOIs
StatePublished - 2009

Fingerprint

Gastrointestinal Diseases
Chronic Pain
Abdominal Pain
Psychology
Pediatrics
Parent-Child Relations
Textbooks
Information Storage and Retrieval
Psychological Stress
PubMed
MEDLINE
Physical Examination
Epidemiology
Therapeutics
Anxiety
History
Morbidity
Delivery of Health Care
Physicians
Education

Keywords

  • Abdominal pain
  • Bowel syndrome
  • Gastrointestinal disorders

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Functional gastrointestinal disorders : Past and present. / Ammoury, Rana Fayez; Pfefferkorn, Marian; Croffie, Joseph.

In: World Journal of Pediatrics, Vol. 5, No. 2, 2009, p. 103-112.

Research output: Contribution to journalArticle

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