AI Article Synopsis
- Pediatric functional abdominal pain is associated with an increased risk of functional gastrointestinal disorders (FGIDs) in young adulthood; however, specific childhood characteristics that predict this risk are not well understood.
- A study followed pediatric patients diagnosed with functional abdominal pain over a 5 to 15 year period, assessing their gastrointestinal, extraintestinal, and depressive symptoms at baseline to determine their link to FGIDs later in life.
- Results showed that extraintestinal somatic and depressive symptoms were significant predictors of FGIDs, particularly irritable bowel syndrome, while age, sex, and initial abdominal pain severity did not significantly influence the outcomes.
Article Abstract
Background & Aims: Pediatric functional abdominal pain has been linked to functional gastrointestinal disorders (FGIDs) in adulthood, but little is known about patient characteristics in childhood that increase the risk for FGID in young adulthood. We investigated the contribution of gastrointestinal symptoms, extraintestinal somatic symptoms, and depressive symptoms in pediatric patients with functional abdominal pain and whether these predicted FGIDs later in life.
Methods: In a longitudinal study, consecutive new pediatric patients, diagnosed with functional abdominal pain in a subspecialty clinic, completed a comprehensive baseline evaluation of the severity of their physical and emotional symptoms. They were contacted 5 to 15 years later and evaluated, based on Rome III symptom criteria, for abdominal pain-related FGIDs, including irritable bowel syndrome, functional dyspepsia, functional abdominal pain syndrome, and abdominal migraine. Controlling for age, sex, baseline severity of abdominal pain, and time to follow-up evaluation, multivariable logistic regression was used to evaluate the association of baseline gastrointestinal, extraintestinal somatic, and depressive symptoms in childhood with FGID in adolescence and young adulthood.
Results: Of 392 patients interviewed an average of 9.2 years after their initial evaluation, 41% (n = 162) met symptom criteria for FGID; most met the criteria for irritable bowel syndrome. Extraintestinal somatic and depressive symptoms at the initial pediatric evaluation were significant predictors of FGID later in life, after controlling for initial levels of GI symptoms. Age, sex, and abdominal pain severity at initial presentation were not significant predictors of FGID later in life.
Conclusions: In pediatric patients with functional abdominal pain, assessment of extraintestinal and depressive symptoms may be useful in identifying those at risk for FGID in adolescence and young adulthood.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4195814 | PMC |
| http://dx.doi.org/10.1016/j.cgh.2014.03.034 | DOI Listing |
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