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• W19795745 abstract "summary of important points • CAP is common in childhood and is usually due to a functional disorder.• The most important assessment is a detailed history and careful examination.• Investigations should be minimal unless atypical features are noted.• Management focuses on understanding the pain and reducing pain using a behavioural approach. Planned periodic review is appropriate.• Children with CAP may be at higher risk of psychological problems in later life.Conflict of interest: none declared. References 1. Rasquin A, Di Lorenzo C, Forbes D, et al. childhood functional gastrointestinal disor-ders: child/adolescent. Gastroenterology 2006;130:1527–37.2. Lake A. Chronic abdominal pain in childhood: diagnosis and management. Am Fam Physician 1999;59:1823–30.3. Fleisher DR, Hyman PE. Recurrent abdominal pain in children. Semin Gastrointest Dis 1994;5:15–9.4. Schurmann J, Friesen C, Danda C, et al. Diagnosing functional abdominal pain with the Rome II criteria: parent, child and clinician agreement. J Pediatr Gastroenterol Nutr 2005;41:291–5.5. Wilder-Smith CH, Schindler D, Lovblad K, Redmond SM, Nirkko A. Brain functional magnetic resonance imaging of rectal pain and activation of endogenous inhibitory mechanisms in irritable bowel syndrome patient subgroups and health controls. Gut 2004;53:1595–1601.6. Hermann C, Zohsel K, Hohmeister J, Flor H. Cortical correlates of an attentional bias to painful and innocuous somatic stimuli in children with recurrent abdominal pain. Pain 2008 Feb 12. Epub ahead of publication.7. Duarte MA, Goulart EMA, Penna FJ. Pressure pain threshold in children with recur-rent abdominal pain. J Pediatr Gastroenterology Nutr 2000;31:280–5.8. Campo JV, Bridge J, Ehmann M, et al. Recurrent abdominal pain, anxiety and depression in primary care. Pediatrics 2004;113:817–24.9. Stone ML, Bohane TD. Whitten KE, Tomas VH, Day AS. Age related clinical features of childhood coeliac disease in Australia. BMC Pediatr 2005;5:11.10. Ravikumara M, Tuthill DP, Jenkins HR. The changing clinical presentation of coeliac disease. Arch Dis Child 2006;91:969–71.11. Yip WC, Ho TF, Yip YY, Chan KY. Value of abdominal sonography in the assessment of children with abdominal pain. J Clin Ultrasound 1998;26: 397–400.12. Sicher S. Clinical aspects of gastrointestinal food allergy in childhood. Pediatrics 2003;111:1609–16.13. Miranda A, Sood M. Treatment options for chronic abdominal pain in children and adolescents. Curr Treat Options Gastroenterol 2006;9:409–15.14. Huertas-Ceballos A, Logan S, Bennett C, Macarthur C. Pharmacological intervention for recurrent abdominal pain (RAP) and irritable bowel syndrome (IBS) in children. Cochrane Database Syst Rev. 2008;1:CD003017.15. Campo JV, Di Lorenzo C, Chiappetta L, et al. Adult outcomes of recurrent abdominal pain: do they just grow out of it? Pediatrics 2001;108:E1." @default.
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• W19795745 title "Chronic abdominal pain in children" @default.
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