Characteristic of patients with abdominal pain referred to pediatric gastroenterologist and pediatric rheumatologist

Nihal Şahin; Nilüfer Ülkü Şahin

Makale detayları

Characteristic of patients with abdominal pain referred to pediatric gastroenterologist and pediatric rheumatologist

Yazarlar:

Nihal Şahin | Nilüfer Ülkü Şahin

Yayıncı:

Kocaeli University

Ana Başlıklar:

Çocuk Sağlığı ve Hastalıkları

Dergi:

Acta Medica Nicomedia Vol.6 Issue 2, pp.235-241

Belge Tipi:

Makale

Yayın Tarihi:

6/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001295062

pISSN:

2717-8994

Anahtar kelimeler:

Özet:

 Objective We aim to investigate the characteristics of patients with abdominal pain who were referred from general pediatric to pediatric gastroenterology and rheumatology. Methods We searched patients with abdominal pain who were referred from general pediatric to pediatric gastroenterology and rheumatology in the registry system. Under 18 years, patients whose at least one visit was done after the first admission were included. The number of patients is 209. We assessed clinical characteristics, laboratory results, final diagnoses, and treatments according to admission to subdivision clinics. Results The mean age was 10.954.73 years, and the median was 11 years  1.42-18 . One hundred fifteen55 were girls. The duration of onset of abdominal pain was between 5 days and ten years; its median was 12 months. The number of patients who were referred only to pediatric gastroenterology was 11756, to pediatric rheumatology was 4320.6, and to both clinics was 4923.4. Abdominal pain was lasting every day in 12559.8, and episode duration was less than one hour in 10650.7. The location of pain was generalized in 8641.1, periumbilical in 6732.1, and epigastric in 3617.1. The most common accompanying symptom was meal-related pain in 9445. Fever, joint findings, rashes, myalgia, oral aphthae, tonsillitis, and familial Mediterranean fever FMF in the family were significantly less in referred to pediatric gastroenterology p0.05. The diagnosis was irritable bowel syndrome IBS in 5626.8, FMF in 4421.1, gastritis in 4421.1, constipation in 3717.7, gastroesophageal reflux disease GERD in 3014.4, and no pathology in 2913.9. Conclusion The most common diagnoses were IBS, FMF, gastritis, constipation, and GERD, and almost half of the patients had diagnoses that could follow in general pediatrics.

 Objective We aim to investigate the characteristics of patients with abdominal pain who were referred from general pediatric to pediatric gastroenterology and rheumatology. Methods We searched patients with abdominal pain who were referred from general pediatric to pediatric gastroenterology and rheumatology in the registry system. Under 18 years, patients whose at least one visit was done after the first admission were included. The number of patients is 209. We assessed clinical characteristics, laboratory results, final diagnoses, and treatments according to admission to subdivision clinics. Results The mean age was 10.954.73 years, and the median was 11 years  1.42-18 . One hundred fifteen55 were girls. The duration of onset of abdominal pain was between 5 days and ten years; its median was 12 months. The number of patients who were referred only to pediatric gastroenterology was 11756, to pediatric rheumatology was 4320.6, and to both clinics was 4923.4. Abdominal pain was lasting every day in 12559.8, and episode duration was less than one hour in 10650.7. The location of pain was generalized in 8641.1, periumbilical in 6732.1, and epigastric in 3617.1. The most common accompanying symptom was meal-related pain in 9445. Fever, joint findings, rashes, myalgia, oral aphthae, tonsillitis, and familial Mediterranean fever FMF in the family were significantly less in referred to pediatric gastroenterology p0.05. The diagnosis was irritable bowel syndrome IBS in 5626.8, FMF in 4421.1, gastritis in 4421.1, constipation in 3717.7, gastroesophageal reflux disease GERD in 3014.4, and no pathology in 2913.9. Conclusion The most common diagnoses were IBS, FMF, gastritis, constipation, and GERD, and almost half of the patients had diagnoses that could follow in general pediatrics.

 Objective We aim to investigate the characteristics of patients with abdominal pain who were referred from general pediatric to pediatric gastroenterology and rheumatology. Methods We searched patients with abdominal pain who were referred from general pediatric to pediatric gastroenterology and rheumatology in the registry system. Under 18 years, patients whose at least one visit was done after the first admission were included. The number of patients is 209. We assessed clinical characteristics, laboratory results, final diagnoses, and treatments according to admission to subdivision clinics. Results The mean age was 10.954.73 years, and the median was 11 years  1.42-18 . One hundred fifteen55 were girls. The duration of onset of abdominal pain was between 5 days and ten years; its median was 12 months. The number of patients who were referred only to pediatric gastroenterology was 11756, to pediatric rheumatology was 4320.6, and to both clinics was 4923.4. Abdominal pain was lasting every day in 12559.8, and episode duration was less than one hour in 10650.7. The location of pain was generalized in 8641.1, periumbilical in 6732.1, and epigastric in 3617.1. The most common accompanying symptom was meal-related pain in 9445. Fever, joint findings, rashes, myalgia, oral aphthae, tonsillitis, and familial Mediterranean fever FMF in the family were significantly less in referred to pediatric gastroenterology p0.05. The diagnosis was irritable bowel syndrome IBS in 5626.8, FMF in 4421.1, gastritis in 4421.1, constipation in 3717.7, gastroesophageal reflux disease GERD in 3014.4, and no pathology in 2913.9. Conclusion The most common diagnoses were IBS, FMF, gastritis, constipation, and GERD, and almost half of the patients had diagnoses that could follow in general pediatrics.

 Amaç Çocukluk çağında en sık hastane başvuru nedenlerinden biri karın ağrısıdır. Amacımız genel pediatri polikliniklerinden karın ağrısı nedeniyle çocuk gastroenteroloji ve romatoloji polikliniklerine yönlendirilen hastaların özelliklerini değerlendirmektir. Yöntem Karın ağrısı nedeni ile genel pediatri polikliniklerinden Çocuk Gastroenteroloji veya Çocuk Romatoloji polikliniklerine yönlendirilen hastalar elektronik sistemden tarandı. Çalışmaya başvuru dışında en az 1 kez kontrol vizit yapılmış, 18 yaş altı hastalar dahil edildi. Dahil edilen hasta sayısı 209du. Hastaların klinik özellikleri, laboratuvar sonuçları, son tanıları ve tedavileri yönlendirilen kliniğe göre incelendi. Bulgular Hastaların yaş ortalaması 10,954,73 yıl ve median 11 yıl 1,42-18 yıl idi. Hastaların 115i 55 kızdı. Karın ağrısı başlangıç süresi medyan değeri 12 aydı ve 5 gün-10 yıl arasındaydı. 117 hasta 56 yalnızca çocuk gastroenteroloji polikliniğine, 43 hasta 20,6 yalnızca Çocuk Romatoloji polikliniğine, 49 hasta 23,4 ise her ikisine yönlendirilmişti. Hastaların 125inde 59,8 karın ağrısı her gündü ve 106ında 50,7 ağrı 1 saatten kısa süreliydi. Ağrı 86ında 41,1 yaygın, 67inde 32,1 periumblikal, 36ında 17,2 epigastrik yerleşimliydi. En sık eşlik eden semptom 94ünde 45 yemeklerle artan ağrıydı. Ateş, eklem bulgusu, döküntü, miyalji, oral aft, tonsilit, ailede ailevi Akdeniz ateşi AAA varlığı yalnızca Çocuk Gastroenteroloji polikliniğine yönlendirilen anlamlı olarak azdı p0,05. Konulan tanılar 56ında 26,8 iritable barsak sendromu İBS, 44ünde 21,1 AAA, 44ünde 21,1 gastrit, 37inde 17,7 kabızlık, 30unda 14,4 gastroözefageal reflüydü GÖRH ve 29unda 13,9 patoloji saptanmadı. Sonuç Karın ağrısı nedeni ile Çocuk Gastroenteroloji ve Çocuk Romatoloji polikliniklerine yönlendirilen hastalarda başlıca saptanan hastalıklar İBS, AAA, gastrit, kabızlık, GÖRH idi. Hastaların yarısından fazlasında genel pediatri kliniklerinde takip edilebilecek hastalıklar mevcuttu.

Makale detayları

Characteristic of patients with abdominal pain referred to pediatric gastroenterologist and pediatric rheumatologist

Yazarlar:

Nihal Şahin | Nilüfer Ülkü Şahin

Yayıncı:

Kocaeli University

Ana Başlıklar:

Çocuk Sağlığı ve Hastalıkları

Dergi:

Acta Medica Nicomedia Vol.6 Issue 2, pp.235-241

Belge Tipi:

Makale

Yayın Tarihi:

6/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001295062

pISSN:

2717-8994

abdominal pain

familial Mediterranean fever

functional gastrointestinal disorders

pediatric

referrals clinicsabdominal pain

familial Mediterranean fever

functional gastrointestinal disorders

pediatric

referrals clinics

Sayı

Makale detayları

Yazarlar: Nihal Şahin | Nilüfer Ülkü Şahin

Yayıncı: Kocaeli University

Ana Başlıklar: Çocuk Sağlığı ve Hastalıkları

Dergi: Acta Medica Nicomedia Vol.6 Issue 2, pp.235-241

Belge Tipi: Makale

Yayın Tarihi: 6/2023

Belge Dili: Türkçe

Document ID (Org No.): 2001295062

pISSN: 2717-8994

Sayı

Yazarlar:

Nihal Şahin | Nilüfer Ülkü Şahin

Yayıncı:

Kocaeli University

Ana Başlıklar:

Çocuk Sağlığı ve Hastalıkları

Dergi:

Acta Medica Nicomedia Vol.6 Issue 2, pp.235-241

Belge Tipi:

Makale

Yayın Tarihi:

6/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001295062

pISSN:

2717-8994