단일 지역사회병원에서 관찰된 소아 만성복통

Abstract

Purpose: Childhood chronic abdominal pain(CAP) is not a rarely encountered problem, but there are a few recent studies about it in Korea and usually done in transfer hospital. I investigated its clinical characteristics to improve the management .

Methods: I studied the medical records of children with CAP who had visited and studied at Department of Pediatrics, YongIn Severance Hospital from 2004 to 2007. Clinical features were reviewed retrospectively and organic causes were searched whenever they were suspected.

Result: There were 64 patients with CAP. The number of patients from 6 to 8 years old were 44(66.7%) and teenage group were 6(9.7%). Male to female ratio was 1.2:1. Fifty nine patients(92.2%) had functional gastrointestinal disorder(FGD) and functional dyspepsia was most frequent among them. Organic diseases were found in 5 patients and 4 of them were over 10 years old. Follow up more than one time was done only in 5.1% of FGD.

Conclusion: The main cause of CAP in children is FGD. Organic causes should be ruled out in teenage patients. Further improved management plan for it would be needed.