Functional dyspepsia, upper gastrointestinal symptoms, and transit in children

Denesh K. Chitkara, Silvia Delgado-Aros, Albert J. Bredenoord, Filippo Cremonini, Mounif El-Youssef, Deborah Freese, Michael Camilleri

Research output: Contribution to journalArticlepeer-review

43 Scopus citations

Abstract

Objective: To assess the prevalence of abnormal gastric emptying and small bowel transit in children with functional dyspepsia at a tertiary care center, and the relationship between abnormal gastric and small bowel transit and symptoms in pediatric patients with functional gastrointestinal disorders. Study design: Patients were selected by a cross-sectional chart review based on the following inclusion criteria: (1) completion of scintigraphic study of the gastric emptying of solids at 2 hours (GE2), 4 hours (GE4), and small bowel transit at 6 hours (SBT) using a standardized egg meal labeled with 99mTechnetium sulfur colloid, and (2) gastrointestinal (GI) complaints without mucosal or organic disease. Logistic regression analysis was used to assess the association between the presence of upper GI symptoms, and each parameter of gastric and small bowel transit. Results: Children with upper GI symptoms (n = 96) were identified. Among 57 children with functional dyspepsia, 40% had slow SBT. Fast GE at 4 hours, and slow SBT were independently associated with bloating. Children with fast SBT were less likely to report abdominal pain. Conclusion: Incorporating assessments of gastric and small bowel transit may be useful in the evaluation of pediatric patients with upper GI symptoms and functional dyspepsia.

Original languageEnglish (US)
Pages (from-to)609-613
Number of pages5
JournalJournal of Pediatrics
Volume143
Issue number5
DOIs
StatePublished - Nov 2003

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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