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Chronic Abdominal Pain in Children: A Clinical Report of the American Academy of Pediatrics and the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition: American Academy of Pediatrics Subcommittee on Chronic Abdominal Pain and NASPGHAN Committee on Abdominal Pain

Di Lorenzo, Carlo M.D., AUTHOR1; Colletti, Richard B M.D., AUTHOR2; Lehmann, Harold P M.D., Ph.D., AUTHOR3; Boyle, John T M.D., AUTHOR4; Gerson, William T M.D., AUTHOR5; Hyams, Jeffrey S M.D., AUTHOR6; Squires, Robert H Jr M.D., AUTHOR7; Walker, Lynn S Ph.D., AUTHOR8; Kanda, Pamela T M.P.H., STAFF9

Journal of Pediatric Gastroenterology & Nutrition: March 2005 - Volume 40 - Issue 3 - pp 245-248
Clinical Report

Children and adolescents with chronic abdominal pain pose unique challenges to their caregivers. Affected children and their families experience distress and anxiety that can interfere with their ability to perform regular daily activities. Although chronic abdominal pain in children is usually attributable to a functional disorder rather than to organic disease, numerous misconceptions, insufficient knowledge among health care professionals and inadequate application of knowledge may contribute to a lack of effective management. This clinical report accompanies a technical report on childhood chronic abdominal pain and provides guidance for the clinician in the evaluation and treatment of children with chronic abdominal pain. The conclusions are based on the evidence reviewed in the technical report and on consensus achieved among subcommittee members.

1Columbus, OH

2Burlington, VT

3Baltimore, MD

4South Birmingham, AL

5Burlington, VT

6Hatford, CT

7Dallas, TX

8Nashville, TN

The guidance in this report does not indicate an exclusive course of treatment or serve as a standard of medical care. Variations taking into account individual circumstances may be appropriate.

All clinical reports from the American Academy of Pediatrics automatically expire 5 years after publication unless reaffirmed, revised, or retired at or before that time.

This clinical guideline was developed jointly by members of the American Academy of Pediatrics Subcommittee on Chronic Abdominal Pain and the NASPGHAN Committee on Abdominal Pain. The guidelines also appear in the March issue of Pediatrics 2005;115:812-5.

© 2005 Lippincott Williams & Wilkins, Inc.