Journal
EXPERT REVIEW OF GASTROENTEROLOGY & HEPATOLOGY
Volume 4, Issue 3, Pages 293-304Publisher
TAYLOR & FRANCIS LTD
DOI: 10.1586/EGH.10.28
Keywords
children; cognitive-behavioral therapy; dietary therapy; functional abdominal pain; irritable bowel syndrome; pharmacotherapy; psychosocial intervention; recurrent abdominal pain
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Funding
- NIH [T32DK007477-25, K24 DK082792A]
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Functional abdominal pain (FAP) and irritable bowel syndrome (IBS) are among the most commonly diagnosed medical problems in pediatrics. Symptom-based Rome III criteria for FAP and IBS have been validated and help the clinician in making a positive diagnosis. The majority of patients with mild complaints improve with reassurance and time. For a distinct subset of patients with more severe and disabling illness, finding effective treatment for these disorders remains a challenge. Over the years, a wide range of therapies have been proposed and studied. The lack of a single, proven intervention highlights the complex interplay of biopsychosocial factors probably involved in the development of childhood FAP and IBS, and the need for a multidisciplinary, integrated approach. This article reviews the current literature on the efficacy of pharmacologic, dietary and psychosocial interventions for FAP and IBS in children and adolescents.
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