THE FEATURES OF ABDOMINAL SYNDROME IN CHILDREN WITH DISORDERS OF GUT-BRAIN INTERACTION

Abstract

We conducted a retrospective analysis of 259 case histories of children with abdominal pain syndrom (APS). After the general clinical, clinical-laboratory and instrumental examination with the exception of surgical pathology all patients were diagnosed functional disorders of the digestive system. It was found that APS in most of the patients (62.5±3.0) % did not have a clear localization and characterized by mostly moderate intensity in all age groups (74.1 ±2.7) %. Related dyspeptic symptoms as a single or repeated vomiting, defecation disorders and flatulence were the most pronounced in children of preschool age, whereas in older children, these symptoms have been observed in every fifth patient. Reboundtenderness was found in 2.5-3 times more often than defense. The combination in (10.8±1.9) % of patients the so-called “alarm signs” - defense and rebound tenderness, did not confirm the surgical pathology. Following the most significant clinical signs of APS in children with functional gastro-intestinal disorders have been identified, namely, provoked abdominal pain (74.1±2.7) %, dyspepsia (vomiting, defecation disorders) - (61.4±3.0) % and rebound tenderness (41.3±3.0) %. As the results, functional disorders do not exclude the possibility of detection “alarm signs”, such as defense, rebound tenderness, and combinations thereof symptoms in some patients with APS, which requires a more detailed examination to exclude surgical pathology and prevention of ungrounded surgical interventions.

Keywords

• abdominal pain syndrome, children,functional disorders of the digestive system, “alarm signs”.