Abstract
Since a longtime considered as functional and psychological, children’s abdominal pains (CAP) is a public health problem. Advances in digestive endoscopy and Helicobacter pylori (H. pylori) discovery have reignited the debate of the organicity of CAP. The aim of this study is to determine the diagnosis rentability of upper gastrointestinal endoscopy (UGIE) in CAP in Ivory Coast. Patients and Methods: This a retrospective analytical study based on reports of UGIE performed in 2 university hospital and 3 private clinics of Abidjan from march 2007 to march 2016. The children (from 1 day to 15 years) in which UGIE were performed for abdominal pains were included in the study. Results: 116 UGIE were performed in children for abdominal pains during the study period. Epigastric pain was the main indication of UGIE (88%). The diagnosis rentability of UGIE was more than 70% in this study. The main anomalies observed in UGIE were gastropathies. Ulcers were rarely found. Conclusion: UGIE play an important diagnosis role in CAP in Ivory Coast. However gastric biopsies for Helicobacter pylori research are not common practice in our country.
Highlights
The abdominal pains represent a common reason for pediatric consultation
Advances in digestive endoscopy and Helicobacter pylori (H. pylori) discovery have reignited the debate of the organicity of children’s abdominal pains (CAP)
With the development of upper gastrointestinal endoscopy (UGIE) in pediatric gastroenterology, the organic origin of CAP increased under 10% to over 50% [4]
Summary
The abdominal pains represent a common reason for pediatric consultation. They are frequent among the school-age children and adolescents. The majority (90%) of children’s abdominal pains (CAP) are considered as functional [3]. With the development of upper gastrointestinal endoscopy (UGIE) in pediatric gastroenterology, the organic origin of CAP increased under 10% to over 50% [4]. UGIE or gastroscopy is a test that allows visual exploration of the inner walls (mucosa) of the esophagus, the stomach and the duodenum to detect anomalies, and sample tissues (biopsies) for histological study [5]
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