Relationship of Recurrent Abdominal Pain Syndrome and Gastric Emptying Time.
- Author:
Eui Jun YANG
1
;
Jae Hong PARK
;
In Ju KIM
Author Information
1. Department of Pediatrics, College of Medicine, Pusan National University, Pusan, Korea.
- Publication Type:Original Article
- Keywords:
Gastric emptying time;
Recurrent abdominal pain syndrome
- MeSH:
Abdominal Pain*;
Busan;
Child;
Colloids;
Constipation;
Diarrhea;
Fasting;
Female;
Gastric Emptying*;
Gastritis;
Gastrointestinal Motility;
Headache;
Humans;
Immunoglobulin G;
Nausea;
Ovum;
Pediatrics;
Vomiting
- From:Journal of the Korean Pediatric Society
1998;41(11):1538-1543
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Recurrent abdominal pain syndrome (RAPS) is not uncommon in school-aged children, but the etiology and pathogenesis are not understood well. But recent studies suggest that motility disorder makes up a majority of the pathogenesis. The aim of this study was to investigate gastric emptying time (GET) which is a method to evaluate gastrointestinal motility in patients with recurrent abdominal pain syndrome. METHODS: Radionuclide GET was investigated in 34 patients who visited the Department of Pediatrics, Pusan National University Hospital due to recurrent abdominal pain from January 1996 to June 1997. After 8 hours of fasting, the patient received two pieces of toast and a fried egg tagged with 2 mci of 99mTc albumin colloid and sequential counting was accomplished. We calculated the geometric mean of two counts measured from AP-PA scans and investigated 60 minutes of intragastric radionuclide retention rate. RESULTS: A total of 34 patients (12 boys, 22 girls, M : F=1 : 1.8) participated in this study. The age ranged from 5 to 12 years and the mean age was 8.8 years. Associated symptoms were headache (7 patients), nausea (7 patients), constipation (2 patients), vomiting (1 patient), and diarrhea (1 patient). Anti-Helicobacter pylori IgG Ab was positive in 4 cases. Endoscopic gastritis was found in 6 cases. The mean of 60 minutes of intragastric radionuclide retention rate was 72 +/- 17% and 27 cases (79%) were delayed significantly. CONCLUSION: The results of our study suggest that delayed gastric emptying time is a cause of abdominal pain in patients with recurrent abdominal pain syndrome.
