Fructose intolerance in children presenting with abdominal pain.

Objectives: We determined the occurrence of fructose malabsorption in pediatric patients with previous diagnoses of abdominal pain caused by a functional bowel disorder, whether the restriction of fructose intake changes the reporting of symptoms, the role of fructose dosage, and the severity of resultant symptoms.

Patients And Methods: We administered a fructose breath test to children presenting with persistent unexplained abdominal pain. Patients randomly received 1, 15, or 45 g fructose, and breath hydrogen was measured for 3 hours after ingestion.

Esophageal food impaction in children.

Objectives: To determine the clinical presentation, radiographic, endoscopic and manometric findings, and clinical outcome of esophageal food impaction (EFI) in pediatric patients.

Methods: We retrospectively reviewed the clinical course of 12 pediatric patients with EFI over a 10-year period.

Results: All 12 patients described initially presented to our emergency department for care.