ACHALASIA CARDIA IN CHILDREN; ARE WE MISSING MANY OF THEM?
Abhinav Sharma*, Ujjal Poddar**, UC Ghoshal***, SK Yachha****
SGPGI, Lucknow *, SGPGI, Lucknow **, SGPGI, Lucknow ***, SGPGI, Lucknow****
Aim: To determine the value of investigative procedures in finding out the etiology of Recurrent Abdominal Pain (RAP) in children.

Materials & Methods: 83 children with recurrent abdominal pain satisfying Apley's criteria in the age group 4-12 years attending Pediatric Gastroenterology OPD in ICH&HC between July 2004 to July 2005 were prospectively evaluated with complete physical examination and detailed investigations.

Results: The mean age of the patients was 6 years and male to female ratio was 1:2 stool microscopy was positive for ascariasis in 3, giardiasis in 2 & amoebiasis in 1. Urine culture was positive in 4 children. USG abdomen showed renal calculus in 1 child. Barium study showed malabsorbtion pattern in 22, malrotation in 1, ascaris worm in 2 & features suggestive of Koch's in 1. UGI endoscopy showed esophagitis in 7, esophagogastritis in 1, gastritis in 1, gastritis + duodenitis in 2, duodenitis in 4 and deformed duodenal bulb and gastric mucosal prolapse in 1 each. Mantoux, Chest and abdominal X-ray, urine routine were not contributory, 5 children were diagnosed as pancreatitis with high serum amylase. 3 children fitted with the diagnosis of somatisation disorder. 46 children were found to have dysfunctional pain.

Conclusion: RAP is one of the commonest childhood problems, which cannot be ignored in view of high accidence of organic cause. The efficacy of certain investigations like Barium Meal Series & UGI scopy was high (31.2 & 22.9 respectively). Gastro esophageal Reflux (GOR) was found to be a major cause, which is often missed unless looked for. Psychogenic pain constitutes a very small percentage.
How to Cite URL :
Sharma A, Poddar U, Ghoshal U, Yachha S.. Available From : http://www.pediatriconcall.com/fordoctor/ Conference_abstracts/report.aspx?reportid=207
Disclaimer: The information given by www.pediatriconcall.com is provided by medical and paramedical & Health providers voluntarily for display & is meant only for informational purpose. The site does not guarantee the accuracy or authenticity of the information. Use of any information is solely at the user's own risk. The appearance of advertisement or product information in the various section in the website does not constitute an endorsement or approval by Pediatric Oncall of the quality or value of the said product or of claims made by its manufacturer.
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.