caa a22 4500 445797517 CHVBK 20180317145130.0 cr unu---uuuuu 170323e20110201xx s 000 0 eng 10.1007/s10620-010-1315-1 doi (NATIONALLICENCE)springer-10.1007/s10620-010-1315-1 Impact of Endoscopy on Management of Chronic Abdominal Pain in Children [Elektronische Daten] [Kalpesh Thakkar, Faith Dorsey, Mark Gilger] Background: Endoscopy is performed frequently in children with chronic abdominal pain (CAP), but its impact on clinical management is unclear. Aims: We aimed to examine the frequency of changes in immediate medical management resulting from endoscopy with biopsy evaluating CAP in children. Methods: We conducted a prospective cross-sectional study to assess the frequency and determinants of management change in children who underwent endoscopy for evaluation of chronic abdominal pain. Patients were screened prior to undergoing endoscopy according to inclusion criteria. Each endoscopist was contacted prior to performing endoscopy and recorded a management plan if endoscopy could not be performed. These responses were compared with management recommendations by the same physician after the endoscopy and review of histopathology. Results: We analyzed 92 endoscopic procedures [63 esophagogastroduodenoscopies (EGDs) and 29 EGD/colonoscopy] performed in 92 children (mean age 11.6years) with CAP. Overall, gastroenterologists changed management plans post endoscopy in 61 (66.3%) patients. In 46 (75%) of these cases, management was changed as a direct result of endoscopic or histologic findings. Overall, management changes included: reassurance in 17 cases, dietary changes in 6 cases, proton pump inhibitor (PPI) trial in 11 cases, antispasmodic/anticholinergic medication trials in 4 cases, and food allergy testing in 4 cases. No significant association was found between management changes and type of histologic findings or presence of alarm symptoms. Conclusions: The overall rate of management change after endoscopic evaluation in children with CAP was approximately 66% (61/92). Management outcome was not associated with type of histologic findings. Springer Science+Business Media, LLC, 2010 Endoscopy nationallicence Abdominal pain nationallicence Disease management nationallicence Pediatrics nationallicence Thakkar Kalpesh The Section of Pediatric Gastroenterology, Hepatology and Nutrition at Baylor College of Medicine, 6621 Fannin St CCC 1010, 77030, Houston, TX, USA aut Dorsey Faith The Section of Pediatric Gastroenterology, Hepatology and Nutrition at Baylor College of Medicine, 6621 Fannin St CCC 1010, 77030, Houston, TX, USA aut Gilger Mark The Section of Pediatric Gastroenterology, Hepatology and Nutrition at Baylor College of Medicine, 6621 Fannin St CCC 1010, 77030, Houston, TX, USA aut Digestive Diseases and Sciences Springer US; http://www.springer-ny.com 56/2(2011-02-01), 488-493 0163-2116 56:2<488 2011 56 10620 https://doi.org/10.1007/s10620-010-1315-1 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10620-010-1315-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Thakkar Kalpesh The Section of Pediatric Gastroenterology, Hepatology and Nutrition at Baylor College of Medicine, 6621 Fannin St CCC 1010, 77030, Houston, TX, USA aut NATIONALLICENCE 700 1- Dorsey Faith The Section of Pediatric Gastroenterology, Hepatology and Nutrition at Baylor College of Medicine, 6621 Fannin St CCC 1010, 77030, Houston, TX, USA aut NATIONALLICENCE 700 1- Gilger Mark The Section of Pediatric Gastroenterology, Hepatology and Nutrition at Baylor College of Medicine, 6621 Fannin St CCC 1010, 77030, Houston, TX, USA aut NATIONALLICENCE 773 0- Digestive Diseases and Sciences Springer US; http://www.springer-ny.com 56/2(2011-02-01), 488-493 0163-2116 56:2<488 2011 56 10620 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer