Protozoa as a Cause of Recurrent Abdominal Pain in Children

Gijsbers, Carolien; Schweizer, Joachim J.; Büller, Hans A.

doi:10.1097/mpg.0b013e31829f1bc0

Cited by 16 publications

(8 citation statements)

References 21 publications

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“…The prevalence of D. fragilis varies widely; however, with the advent of molecular diagnostics, rates of infection are reportedly higher than those of Giardia intestinalis (2). These statistics are consistent with other studies using nonmolecular methods (3)(4)(5)(6).…”

supporting

confidence: 80%

Description of Dientamoeba fragilis Cyst and Precystic Forms from Human Samples

Stark

Garcia²,

Barratt

et al. 2014

J Clin Microbiol

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supporting

confidence: 80%

Description of Dientamoeba fragilis Cyst and Precystic Forms from Human Samples

Stark

Garcia²,

Barratt

et al. 2014

J Clin Microbiol

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“…1). De hecho, estudios recientes 17 han encontrado como causa de dolor e43 abdominal recurrente en niños la presencia de protozoos, de igual forma se han publicado en adultos estudios 18 que ponen en relación el síndrome de colon irritable con la presencia de este microorganismo.…”

Section: Discussionunclassified

Blastocystis hominis, un gran desconocido

Bustelo

Joga²,

Sánchez

et al. 2015

Rev Pediatr Aten Primaria

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“…CAP is referred to as functional abdominal pain disorder (FAPD), according to the pediatric ROME IV classification, if it cannot be attributed to another medical condition after appropriate medical evaluation [3,4]. CAP is mostly considered functional; however, in up to 45% of cases, organic abnormalities are found [5,6]. Lactose and fructose malabsorption are frequently reported in children suffering from CAP [7][8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

Roles of Lactose and Fructose Malabsorption and Dietary Outcomes in Children Presenting with Chronic Abdominal Pain

et al. 2019

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Intolerance to lactose or fructose is frequently diagnosed in children with chronic abdominal pain (CAP). However, the causal relationship remains a matter of discussion. A cohort of 253 patients, aged 7–12 years, presenting with unexplained CAP received standardized diagnostics. Additional diagnostic tests were performed based on their medical history and physical and laboratory investigations. Fructose and lactose hydrogen breath tests (H2BT) as well as empiric diagnostic elimination diets were performed in 135 patients reporting abdominal pain related to the consumption of lactose or fructose to evaluate carbohydrate intolerance as a potential cause of CAP. Carbohydrate malabsorption by H2BT was found in 55 (41%) out of 135 patients. An abnormal increase in H2BT was revealed in 30% (35/118) of patients after fructose consumption and in 18% (20/114) of patients after lactose administration. Forty-six percent (25/54) reported pain relief during a diagnostic elimination diet. In total, 17 patients had lactose malabsorption, 29 fructose malabsorption, and nine combined carbohydrate malabsorption. Carbohydrate intolerance as a cause of CAP was diagnosed at follow-up in only 18% (10/55) of patients with malabsorption after the elimination of the respective carbohydrate. Thus, carbohydrate malabsorption appears to be an incidental finding in children with functional abdominal pain disorders, rather than its cause. Therefore, testing of carbohydrate intolerance should only be considered in children with a strong clinical suspicion and with the goal to prevent long-term unnecessary dietary restrictions in children suffering from CAP.

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Protozoa as a Cause of Recurrent Abdominal Pain in Children

Abstract: Protozoa were found as the cause of pain in 6% to 11% of children with RAP. These patients did not show a characteristic presentation when compared with patients with other causes of abdominal pain.

Cited by 16 publications

References 21 publications

Description of Dientamoeba fragilis Cyst and Precystic Forms from Human Samples

Description of Dientamoeba fragilis Cyst and Precystic Forms from Human Samples

Blastocystis hominis, un gran desconocido

Roles of Lactose and Fructose Malabsorption and Dietary Outcomes in Children Presenting with Chronic Abdominal Pain

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