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Clinical Features of Pathologic Childhood Aerophagia: Early Recognition and Essential Diagnostic Criteria

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Author(s)
Jin-Bok HwangWon Joung ChoiJun Sik KimSang Yun LeeChul-Ho JungYoung Hwan LeeSin Kam
Keimyung Author(s)
Hwang, Jin BokKim, Joon SikJung, Chul Ho
Department
Dept. of Pediatrics (소아청소년학)
Dept. of Psychiatry (정신건강의학)
Journal Title
Journal of Pediatric Gastroenterology and Nutrition
Issued Date
2005
Volume
41
Issue
5
Keyword
AerophagiaChildhoodDiagnosis
Abstract
Objective: This study investigated the early recognition and diagnosis of pathologic childhood aerophagia to avoid unnecessary diagnostic approaches and serious complications.

Methods: Between 1995 and 2003, data from 42 consecutive patients with pathologic childhood aerophagia, aged 2 to 16 years, were reviewed. An esophageal air sign was defined as an abnormal air shadow on the proximal esophagus adjacent to the trachea on a full-inflated chest radiograph.

Results: Of the 42 patients, the chief complaints were abdominal distention (52.4%), recurrent abdominal pain syndrome (21.4%), chronic diarrhea (11.9%), acute abdominal pain (7.1%) and others (7.2%). Mean symptom duration before diagnosis was 10.6 months (range, 1 to 60 months), and it exceeded 12 months for 16 (38.1%) patients. The clinical features common to all patients were abdominal distention that increased progressively during the day, increased flatus on sleep, increased bowel sound on auscultation and an air-distended stomach with increased gas in the small and large bowel by radiography. Visible or audible air swallowing (26.2%) and repetitive belching (9.5%) were also noted. Esophageal air sign was observed in 76.2% of the patients and in 9.7% of the controls (P = 0.0001). The subgroups of pathologic childhood aerophagia divided by underlying associations were pathologic childhood aerophagia without severe mental retardation (76.2%), which consisted of psychological stresses and uncertain condition, and pathologic childhood aerophagia with severe mental retardation (23.8%).

Conclusions: The common manifestations of pathologic childhood aerophagia may be its essential diagnostic criteria, and esophageal air sign may be useful for the early recognition of pathologic childhood aerophagia. Our observations show that the diagnostic clinical profiles suggested by Rome II criteria should be detailed and made clearer if they are to serve as diagnostic criteria for pathologic childhood aerophagia.
Keimyung Author(s)(Kor)
황진복
김준식
정철호
Publisher
School of Medicine
Citation
Jin-Bok Hwang et al. (2005). Clinical Features of Pathologic Childhood Aerophagia: Early Recognition and Essential Diagnostic Criteria. Journal of Pediatric Gastroenterology and Nutrition, 41(5), 612–616.
Type
Article
ISSN
0277-2116
Source
http://lps3.insights.ovid.com.proxy.dsmc.or.kr/pubmed?pmid=16254518
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/33867
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Pediatrics (소아청소년학)
1. School of Medicine (의과대학) > Dept. of Psychiatry (정신건강의학)
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