Gastric myoelectrical and motor abnormalities in children and adolescents with functional recurrent abdominal pain

Background and Aims:  Recurrent abdominal pain is common among children and adolescents. The majority of the affected patients have no apparent cause for their symptoms. This study evaluated gastric myoelectrical activity and motility abnormalities in children and adolescents with functional recurre...

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Bibliographic Details
Published in:Journal of gastroenterology and hepatology 2008-11, Vol.23 (11), p.1672-1677
Main Authors: Devanarayana, Niranga M, De Silva, DG Harendra, De Silva, H Janaka
Format: Article
Language:English
Subjects:
abdominal pain
Abdominal Pain - diagnostic imaging
Abdominal Pain - etiology
Abdominal Pain - physiopathology
Adolescent
Biological and medical sciences
Case-Control Studies
Child
electrogastrography
Electromyography - methods
Female
functional gastrointestinal disorders
Gastric Emptying
Gastroenterology. Liver. Pancreas. Abdomen
gastrointestinal motility
Humans
Male
Medical sciences
Muscle Contraction
Myoelectric Complex, Migrating
Pain Measurement
Postprandial Period
Pyloric Antrum - diagnostic imaging
Pyloric Antrum - physiopathology
Recurrence
Risk Factors
Severity of Illness Index
Sri Lanka
Stress, Psychological - complications
Ultrasonography
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Summary:Background and Aims:  Recurrent abdominal pain is common among children and adolescents. The majority of the affected patients have no apparent cause for their symptoms. This study evaluated gastric myoelectrical activity and motility abnormalities in children and adolescents with functional recurrent abdominal pain. Methods:  Forty‐two children with functional recurrent abdominal pain [19 (45.2%) males, mean 8 years, SD 3 years, 19 functional abdominal pain, 9 irritable bowel syndrome, 9 functional dyspepsia, 1 abdominal migraine, 1 aerophagia and 3 non‐specific abdominal pain according to Rome III criteria] and 20 healthy children [10 (50%) males, mean 9 years, SD 2.7 years] from the same geographical area underwent electrogastrography (EGG), and ultrasonographic assessment of gastric emptying rate and antral motility. Results:  Average gastric emptying rate, amplitude of antral contractions and antral motility index were lower in patients (46.5%, 74.3% and 6.5 respectively) compared to controls (66.17%, 89% and 8.3 respectively) (P 
ISSN:0815-9319
1440-1746
DOI:10.1111/j.1440-1746.2008.05529.x