Functional Abdominal Pain Disorders in Children

Muzal Kadim
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引用次数: 1

Abstract

Diagnostic criteria for functional abdominal pain has developed in the last decade, from the Rome III criteria to the Rome IV criteria. The major change was in the phrase "abdominal pain related gastrointestinal disorders" to "functional abdominal pain disorders (FAPD)". According to Rome IV criteria, FAPD  are divided into functional dyspepsia (FD), irritable bowel syndrome (IBS), abdominal migraine, and functional abdominal pain-not otherwise specified (FAP-NOS). In order to diagnose FAPD, it is important to pay attention to alarm signs that can indicate organic abnormalities. The pathophysiology of FAPD was a complex interaction between psychosocial, genetic, environmental and life experiences of children through the gut brain axis. The risk factors for functional abdominal pain in children include psychological factors including anxiety and depression, stress conditions, negative experiences, and socioeconomic status.  
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儿童功能性腹痛障碍
功能性腹痛的诊断标准在过去十年中得到了发展,从罗马III标准到罗马IV标准。主要变化是“腹痛相关胃肠道疾病”改为“功能性腹痛疾病”。根据Rome IV标准,FAPD分为功能性消化不良(FD)、肠易激综合征(IBS)、腹部偏头痛和功能性腹痛(FAP-NOS)。为了诊断FAPD,重要的是要注意可能表明器官异常的报警信号。FAPD的病理生理是儿童的心理社会、遗传、环境和生活经历通过肠脑轴相互作用的复杂过程。儿童功能性腹痛的危险因素包括心理因素,包括焦虑和抑郁、压力状况、负面经历和社会经济地位。
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审稿时长
8 weeks
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