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New approach to chronic recurrent abdominal pain in children

Korean Journal of Pediatrics 2006;49(2):129-135.
Published online February 15, 2006.
New approach to chronic recurrent abdominal pain in children
Hye Ran Yang
Department of Pediatrics, Seoul National University College of Medicine, Seoul, Korea
소아 만성 복통의 새로운 임상적 접근
양혜란
서울대학교 의과대학 소아과학교실
Correspondence: 
Hye Ran Yang, Email: hryang@snubh.org
Abstract
Chronic recurrent abdominal pain is a common manifestation in children. Functional abdominal pain is the most common cause of chronic abdominal pain and can be diagnosed properly by the physician without the requirement of specific evaluation when there are no alarm symptoms or signs. Functional abdominal pain is categorized as functional dyspepsia, irritable bowel syndrome, functional abdominal pain, abdominal migraine, and aerophagia, according to the Rome II criteria for pediatric functional gastrointestinal disorders. New concepts on the pathogenesis of functional abdominal pain include brain-gut interaction, visceral hypersensitivity, gastrointestinal dysmotility, inflammation, autonomic dysfunction, genetic predisposition, and triggering factors including psycho-social stress.
Key Words: Chronic recurrent abdominal pain , Functional pain , Children


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