PDF herunterladen
Kinder- und Jugendmedizin 2009; 09(05): 243-248
DOI: 10.1055/s-0038-1628927
Schmerz
Schattauer GmbH

Chronische Bauchschmerzen bei Kindern

Chronic recurrent abdominal pain in children
C. Spranger
1   Universitätsklinik und Poliklinik für Kinder und Jugendliche Leipzig
,
G. Flemming
1   Universitätsklinik und Poliklinik für Kinder und Jugendliche Leipzig
,
H. Uhlig
1   Universitätsklinik und Poliklinik für Kinder und Jugendliche Leipzig
› Institutsangaben
Weitere Informationen

Publikationsverlauf

Received: 26. Juni 2009

Accepted: 01. Juli 2009

Publikationsdatum:
25. Januar 2018 (online)

    Lizenzen und Reprints

Zusammenfassung

Bauchschmerzen sind häufige Beschwerden im Kindes- und Jugendalter. Die notwendigen differenzialdiagnostischen Überlegungen umfassen eine Vielzahl abdomineller und extraabdomineller organischer Ursachen sowie funktionelle Störungen. Bei chronisch rezidivierenden Bauchschmerzen ist die Unterscheidung zwischen funktionellen und organisch bedingten Beschwerden oft schwierig. Der Fokus des Beitrages liegt auf der Diagnostik und Therapie der sehr häufigen chronisch wiederkehrenden funktionellen Bauchschmerzen. Es werden aktuelle pharmakologische, diätetische und psychologische Inter-ventionen zur Behandlung chronisch rezidivierender Bauchschmerzen diskutiert.

Summary

Abdominal pain is a common disorder in childhood and adolescence. Multiple organic and functional causes of abdominal pain have to be considered. The discrimination between functional and organic causes of recurrent abdominal pain remains difficult. Unnecessary and stressful diagnostic investigations can be avoided by careful inquiry of patients history and medical evaluation. Psychological, dietary and pharmacological interventions for treatment of recurrent abdominal pain are discussed.

Schlüsselwörter

Akute Bauchschmerzen - chronische Bauchschmerzen - funktionelle Beschwerden

Keywords

Acute abdominal pain - recurrent abdominal pain - functional abdominal pain
 

  • Literatur

  • 1 Apley J, Naish N. Recurrent abdominal pains: a field survey of 1,000 school children. Arch Dis Child 1958; 33: 165-170.
    CrossrefPubMedGoogle Scholar
  • 2 Baber KF, Anderson J, Puzanovova M. et al. Rome II versus Rome III classification of functional gastrointestinal disorders in pediatric chronic abdominal pain. J Pediatr Gastroenterol Nutr 2008; 47: 299-302.
    CrossrefPubMedGoogle Scholar
  • 3 Banez GA. Chronic abdominal pain in children: what to do following the medical evaluation. Curr Opin Pediatr 2008; 20: 571-575.
    CrossrefPubMedGoogle Scholar
  • 4 Bausserman M, Michail S. The use of Lactobacillus GG in irritable bowel syndrome in children: a double-blind randomized control trial. J Pediatr 2005; 147: 197-201.
    CrossrefPubMedGoogle Scholar
  • 5 Braden B. Methods and functions: Breath tests. Best Pract Res Clin Gastroenterol 2009; 23: 337-352.
    CrossrefPubMedGoogle Scholar
  • 6 Di Lorenzo C, Colletti RB, Lehmann HP. et al. Chronic abdominal pain in children: a technical report of the American Academy of Pediatrics and the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition. J Pediatr Gastroenterol Nutr 2005; 40: 249-261.
    CrossrefPubMedGoogle Scholar
  • 7 Duarte MA, Penna FJ, Andrade EM. et al. Treatment of nonorganic recurrent abdominal pain: cognitive-behavioral family intervention. J Pediatr Gastroenterol Nutr 2006; 43: 59-64.
    CrossrefPubMedGoogle Scholar
  • 8 Ellert U, Neuhauser H, Roth-Isigkeit A. Pain in children and adolescents in Germany: the prevalence and usage of medical services. Results of the German Health Interview and Examination Survey for Children and Adolescents (KiGGS). Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2007; 50: 711-717.
    CrossrefPubMedGoogle Scholar
  • 9 Gawronska A, Dziechciarz P, Horvath A. et al. A randomized double-blind placebo-controlled trial of Lactobacillus GG for abdominal pain disorders in children. Aliment Pharmacol Ther 2007; 25: 177-184.
    Google Scholar
  • 10 Grosse KP, Keller K-M. Leitlinie Bauchweh. http://www.gpge.de [25.06.2009].
  • 11 Helgeland H, Flagstad G, Grotta J. et al. Diagnosing pediatric functional abdominal pain in children (4–15 years old) according to the Rome III criteria: results from a norwegian prospective study.. J Pediatr Gastroenterol Nutr 2009; epub ahead of print..
    Google Scholar
  • 12 Huertas-Ceballos A, Logan S, Bennett C. et al. Psychosocial interventions for recurrent abdominal pain (RAP) and irritable bowel syndrome (IBS) in childhood.. Cochrane Database Syst Rev. 2008 CD003014.
    PubMedGoogle Scholar
  • 13 Huertas-Ceballos A, Logan S, Bennett C. et al. Pharmacological interventions for recurrent abdominal pain (RAP) and irritable bowel syndrome (IBS) in childhood.. Cochrane Database Syst Rev. 2008 CD003017.
    PubMedGoogle Scholar
  • 14 Huertas-Ceballos A, Logan S, Bennett C. et al. Dietary interventions for recurrent abdominal pain (RAP) and irritable bowel syndrome (IBS) in childhood.. Cochrane Database Syst Rev. 2008 CD003019.
    PubMedGoogle Scholar
  • 15 Kline RM, Kline JJ, Di Palma J. et al. Enteric-coated, pH-dependent peppermint oil capsules for the treatment of irritable bowel syndrome in children. J Pediatr 2001; 138: 125-128.
    CrossrefPubMedGoogle Scholar
  • 16 Rasquin A, Di Lorenzo C, Forbes D. et al. Childhood functional gastrointestinal disorders: child/adolescent. Gastroenterology 2006; 130: 1527-1537.
    CrossrefPubMedGoogle Scholar
  • 17 Robins PM, Smith SM, Glutting JJ. et al. A randomized controlled trial of a cognitive-behavioral family intervention for pediatric recurrent abdominal pain. J Pediatr Psychol 2005; 30: 397-408.
    CrossrefPubMedGoogle Scholar
  • 18 Nützenadel W, Waag KL. Akutes Abdomen. In: Ro-deck B, Zimmer K-P. Pädiatrische Gastroenterologie, Hepatologie und Ernährung. Heidelberg: Springer; 2008: 157-158.
    Google Scholar
  • 19 Roth-Isigkeit A, Thyen U, Raspe HH. et al. Reports of pain among German children and adolescents: an epidemiological study. Acta Paediatr 2004; 93: 258-263.
    CrossrefPubMedGoogle Scholar
  • 20 Roth-Isigkeit A, Thyen U, Stoven H. et al. Pain among children and adolescents: restrictions in daily living and triggering factors. Pediatrics 2005; 115: e152-162.
    CrossrefPubMedGoogle Scholar
  • 21 See MC, Birnbaum AH, Schechter CB. et al. Double-blind, placebo-controlled trial of famotidine in children with abdominal pain and dyspepsia: global and quantitative assessment. Dig Dis Sci 2001; 46: 985-992.
    CrossrefPubMedGoogle Scholar
  • 22 Shulman RJ, Eakin MN, Czyzewski DI. et al. Increased gastrointestinal permeability and gut inflammation in children with functional abdominal pain and irritable bowel syndrome. J Pediatr 2008; 153: 646-650.
    CrossrefPubMedGoogle Scholar
  • 23 Subcommittee on Chronic Abdominal Pain.. Chronic abdominal pain in children. Pediatrics 2005; 115: e370-381.
    CrossrefPubMedGoogle Scholar
  • 24 Symon DN, Russell G. Double blind placebo controlled trial of pizotifen syrup in the treatment of abdominal migraine. Arch Dis Child 1995; 72: 48-50.
    CrossrefPubMedGoogle Scholar
  • 25 Tabbers MM, Chmielewska A, Roseboom MG. et al. Effect of the consumption of a fermented dairy product containing Bifidobacterium lactis DN-173 010 on constipation in childhood: a multicentre randomised controlled trial (NTRTC: 1571). BMC Pediatr 2009; 9: 22.
    CrossrefPubMedGoogle Scholar
  • 26 Vandenplas Y, Benninga M. Probiotics and functional gastrointestinal disorders in children. J Pediatr Gastroenterol Nutr 2009; 48 (Suppl. 02) S107-109.
    CrossrefPubMedGoogle Scholar
  • 27 Vlieger AM, Benninga MA. Chronic abdominal pain including functional abdominal pain, irritable bowel disease, and abdominal migraine. In: Klein-man RE. et al. (eds). Walker’s Pediatric Gastrointestinal Disease: Physiology, Diagnosis, Management. 5th edition. PMPH-USA; 2008: 715-728.
    Google Scholar
  • 28 Weydert JA, Shapiro DE, Acra SA. et al. Evaluation of guided imagery as treatment for recurrent abdominal pain in children: a randomized controlled trial. BMC Pediatr 2006; 6: 29.
    CrossrefPubMedGoogle Scholar
  • 29 Whitehead WE, Palsson OS, Feld AD. et al. Utility of red flag symptom exclusions in the diagnosis of irritable bowel syndrome. Aliment Pharmacol Ther 2006; 24: 137-146.
    CrossrefPubMedGoogle Scholar
  • 30 Youssef NN, Murphy TG, Langseder AL. et al. Quality of life for children with functional abdominal pain: a comparison study of patients’ and parents’ perceptions. Pediatrics 2006; 117: 54-59.
    CrossrefPubMedGoogle Scholar
  • 31 Zimmer K-P. Laktose- und Fruktosemalabsorption. Monatsschrift Kinderheilkunde 2007; 155: 565-576.
    CrossrefGoogle Scholar