[Analysis of the comorbidities and role of laparoscopy in recurrent abdominal pain]. / Análisis de las comorbilidades y papel de la laparoscopia en el dolor abdominal recurrente.
Cir Pediatr
; 31(1): 21-24, 2018 Feb 01.
Article
em Es
| MEDLINE
| ID: mdl-29419954
ABSTRACT
INTRODUCTION AND OBJECTIVES:
Recurrent abdominal pain is defined as > 3 episodes of abdominal pain accompanied by affectation of the daily activity, during > 3 months. Our objective is to analyze the role of diagnostic and/or therapeutic laparoscopy. MATERIAL ANDMETHODS:
A descriptive, retrospective study from 2004 to 2016. Patients <14 years with DAR who underwent laparoscopy. Variables age, sex, history, surgical findings, histology and follow-up.RESULTS:
55 patients. Mean age 10.7 years. Female 63, 6%. Probability of allergic comorbidity 27.27% [16.138-40.962] (CI 95%). Probability of subsequent psychological comorbidity 12.72% [5.27 -24.48] (95% CI). Histological changes 31/55 (56.36%) lymphoid nodular hyperplasia 10/31, appendicular inflammation 7/31, fecalite 3/31, carcinoid tumor 1/31, appendicular fibrosis 3/31, Meckel diverticulum 1/31, association of several of the above 8/31. Macroscopic alterations 31/55 (56.36%) appendicular pathology 10/31, adhesions 5/31, lymph nodes 2/31, ileitis 2/31, tubal cysts 1/31, Meckel 1/31 diverticulum, several of the previous ones 10/31. Remission of symptoms 30/55 (54.54%). In some cases, with partial improvement (4/55) or persistence of symptoms (21/55), organic and/ or psychological cause was demonstrated (16/25).CONCLUSIONS:
Recurrent abdominal pain seems to have a significant association with an allergic or psychological history. Exploratory laparoscopy is a useful diagnostic and therapeutic technique.RESUMEN
INTRODUCCION Y OBJETIVOS:
El dolor abdominal recurrente (DAR) supone > 3 episodios de dolor abdominal acompañados de afectación de la actividad diaria, durante > 3 meses. Nuestro objetivo es analizar el papel de la laparoscopia diagnóstica y/o terapéutica. MATERIAL YMETODOS:
Estudio descriptivo, retrospectivo desde 2004 hasta 2016. Pacientes < 14 años con DAR a los que se les practicó laparoscopia. Variables edad, sexo, antecedentes, hallazgos quirúrgicos, histología y evolución.RESULTADOS:
55 pacientes. Media de edad 10,7 años. Mujeres 63, 6%. Probabilidad de comorbilidad alérgica 27,27% [16,138- 40,962] (I.C 95%). Probabilidad de comorbilidad posterior psicológica 12,72% [5,27 -24,48] (I.C 95%). Alteraciones histológicas 31/55 (56,36%) hiperplasia nodular linfoide 10/35, inflamación apendicular 7/31, fecalito 3/31, tumor carcinoide 1/31, fibrosis apendicular 3/31, divertículo de Meckel 1/31, asociación de varios de los anteriores 8/31. Alteraciones macroscópicas 31/55 (56,36%) patología apendicular 10/31, bridas 5/31, adenopatías 2/31, ileítis 2/31, quistes tubáricos 1/31, divertículo de Meckel 1/31, varios 10/31. Remisión 30/ 55 (54,54%). En algunos casos con mejoría parcial (sin desaparición completa del dolor) (4/55) o persistencia de síntomas (21/55) se demostró causa orgánica y/o psicológica (16/25).CONCLUSIONES:
El dolor abdominal recurrente parece presentar una asociación significativa con antecedentes alérgicos o psicológicos. La laparoscopia exploradora supone una técnica diagnóstica y terapéutica.Palavras-chave
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Dor Abdominal
/
Laparoscopia
/
Hipersensibilidade
/
Transtornos Mentais
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Observational_studies
/
Risk_factors_studies
Limite:
Adolescent
/
Child
/
Child, preschool
/
Female
/
Humans
/
Male
Idioma:
Es
Revista:
Cir Pediatr
Assunto da revista:
PEDIATRIA
Ano de publicação:
2018
Tipo de documento:
Article