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Review Article| Volume 53, ISSUE 1, P107-137, February 2006

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Abdominal Pain in Children

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      References

        • Kim M.
        • Strait R.T.
        • Sato T.T.
        • et al.
        A randomized clinical trial of analgesia in children with acute abdominal pain.
        Acad Emerg Med. 2002; 9: 281-287
        • Gorelick M.
        Validity and reliability of clinical signs in the diagnosis of dehydration in children.
        Pediatrics. 1997; 99: e6
        • Duggan C.
        • Refat M.
        • Hashem M.
        • et al.
        How valid are clinical signs of dehydration in infants?.
        J Pediatr Gastroenterol Nutr. 1996; 22: 56-61
        • Lee P.H.
        • Bank D.E.
        • Flomenbaum N.
        Hypoglycemia and ABC's (sugar).
        Ann Emerg Med. 2000; 36: 278-279
        • Atherly-John Y.C.
        • Cunningham S.J.
        • Crain E.F.
        A randomized trial of oral vs intravenous rehydration in a pediatric emergency department.
        Arch Peds Adol Med. 2002; 156: 1240-1243
        • Nager A.
        • Wang V.J.
        Comparison of nasogastric and intravenous methods of rehydration in pediatric patients with acute dehydration.
        Pediatrics. 2002; 109: 566-572
        • American Academy of Pediatrics
        Subcommittee on Acute Gastroenteritis Practice parameter: the management of acute gastroenteritis in young children.
        Pediatrics. 1996; 97: 424-435
        • Reeves J.
        • Shannon M.
        • Fleisher G.
        Ondansetron decreases vomiting associated with acute gastroenteritis: a randomized, controlled trial.
        Pediatrics. 2002; 109: e62
        • Ramsook C.
        • Sahagun-Carreon L.
        • Kozinetz C.
        • et al.
        A randomized clinical trial comparing ondansetron with placebo in children with vomiting from acute gastroenteritis.
        Ann Emerg Med. 2002; 39: 397-403
        • Van Niel C.W.
        • Feudtner C.
        • Garrison M.M.
        • et al.
        Meta-analysis of Lactobacillus therapy.
        Pediatrics. 2002; 109: 678-684
        • Tolia V.
        • Lin C.H.
        • Elitsur Y.
        A prospective randomized study with mineral oil and oral lavage solution for treatment of faecal impaction in children.
        Aliment Pharmacol Ther. 1993; 7: 523-529
        • Bishop W.P.
        Miracle laxative?.
        J Pediatr Gastroenterol Nutr. 2001; 32: 514-515
        • Reedy J.
        • Zwiren J.
        Enema-induced hypocalcemia and hyperphosphatemia leading to cardiac arrest during induction of anesthesia in an outpatient surgery center.
        Anesthesiology. 1983; 59: 578
        • Ziskind A.
        • Gellis S.S.
        Water intoxication following tap water enemas.
        AMA J Dis Child. 1958; 96: 699-704
        • Wagner J.M.
        • McKinner W.P.
        • Carpenter J.L.
        Does this patient have appendicitis?.
        JAMA. 1996; 276: 1589-1594
        • Williams A.
        • Bello M.
        Perforation rates relates to delayed presentation in childhood acute appendicitis.
        J R Coll Surg Edinb. 1998; 43: 101-102
        • Saidi R.F.
        • Ghasemi M.
        Role of Alvarado score in diagnosis and treatment of suspected acute appendicitis.
        Am J Emerg Med. 2000; 18: 230-231
        • Horwitz J.R.
        • Gursoy M.
        • Jaksic T.
        • et al.
        Importance of diarrhea as a presenting symptom of appendicitis in very young children.
        Am J Surg. 1997; 173: 80-82
        • Scholer S.J.
        • Pituch K.
        • Orr D.P.
        • et al.
        Use of the rectal examination on children with acute abdominal pain.
        Pediatr Clin N Am. 1998; 37: 311-316
        • Rothrock S.G.
        • Pagane J.
        Acute appendicitis in children: emergency department diagnosis and management.
        Ann Emerg Med. 2000; 36: 39-51
        • Emery M.
        • Jones J.
        • Brown M.
        Clinical application of infrared thermography in the diagnosis of appendicitis.
        Am J Emerg Med. 1994; 42: 48-50
        • Reynolds S.L.
        Missed appendicitis in a pediatric emergency department.
        Pediatr Emerg Care. 1993; 9: 1-3
        • Coleman C.
        • Thompson J.E.
        • Bennion R.S.
        • et al.
        White blood cell count is poor predictor of severity of disease in the diagnosis of appendicitis.
        Am Surg. 1998; 64: 983-985
        • Chung J.L.
        • Kong M.S.
        • Lin S.L.
        • et al.
        Diagnostic value of C-reactive protein in children with perforated appendicitis.
        Eur J Pediatr. 1996; 155: 529-531
        • Paajanen H.
        • Mansikka A.
        • Laato M.
        • et al.
        Are serum inflammatory markers age dependent in acute appendicitis?.
        J Am Coll Surg. 1997; 184: 303-308
        • Hallan S.
        • Asberg A.
        • Edna T.H.
        Additional value of biochemical tests in suspected acute appendicitis.
        Eur J Surg. 1997; 163: 533-538
        • Andersson R.E.
        • Hugander A.P.
        • Ghazi S.H.
        • et al.
        Diagnostic value of disease history, clinical presentation, and inflammatory parameters in appendicitis.
        World J Surg. 1999; 23: 133-140
        • Albiston E.
        The role of radiological imaging in the diagnosis of acute appendicitis.
        Can J Gastroenterol. 2002; 16: 451-463
        • Orr R.K.
        • Porter D.
        • Hartman D.
        Ultrasonography to evaluate adults for appendicitis: decision making based on meta-analysis and probabilistic reasoning.
        Acad Emerg Med. 1995; 2: 644-650
        • Wong M.L.
        • Casey S.O.
        • Leonidas J.C.
        • et al.
        Sonographic diagnosis of acute appendicitis in children.
        J Pediatr Surg. 1994; 29: 1356-1360
        • Ramachandran P.
        • Sivit C.J.
        • Newman K.D.
        • et al.
        Ultrasonography as an adjunct in the diagnosis of acute appendicitis: a 4-year experience.
        J Pediatr Surg. 1996; 31 ([discussion: 167–9]): 164-167
        • Crady S.K.
        • Jones J.S.
        • Wyn T.
        • et al.
        Clinical validity of ultrasound in children with suspected appendicitis.
        Ann Emerg Med. 1993; 22: 1125-1129
        • Zaki A.M.
        • MacMahon R.A.
        • Gray A.R.
        Acute appendicitis in children: when does ultrasound help?.
        Aust N Z J Surg. 1994; 64: 695-698
        • Hahn H.B.
        • Hoepner F.U.
        • Kalle T.
        • et al.
        Sonography of acute appendicitis in children: 7 years experience.
        Pediatr Radiol. 1998; 28: 147-151
        • Carrico C.W.
        • Fenton L.Z.
        • Taylor G.A.
        • et al.
        Impact of sonography on the diagnosis and treatment of acute lower abdominal pain in children and young adults.
        Am J Roentgenol. 1999; 172: 513-516
        • Lessin M.S.
        • Chan M.
        • Catallozzi M.
        • et al.
        Selective use of ultrasonography for acute appendicitis in children.
        Am J Surg. 1999; 177: 193-196
        • Rice H.E.
        • Arbesman M.
        • Martin D.J.
        • et al.
        Does early ultrasonography affect management of pediatric appendicitis? a prospective analysis.
        J Pediatr Surg. 1999; 34: 754-759
        • Rice H.E.
        • Arbesman M.
        • Martin D.J.
        • et al.
        Does early ultrasonography affect management of pediatric appendicitis? a prospective analysis.
        J Pediatr Surg. 1999; 34 ([discussion: 758–9]): 754-759
        • Roosevelt G.E.
        • Reynolds S.L.
        Does the use of ultrasonography improve the outcome of children with appendicitis?.
        Acad Emerg Med. 1998; 5: 1071-1075
        • Quillin S.P.
        • Siegel M.J.
        Diagnosis of appendiceal abscess in children with acute appendicitis: value of color Doppler sonography.
        Am J Roentgenol. 1995; 164: 1251-1254
        • Funaki B.
        • Grosskreutz S.R.
        • Funaki C.N.
        Using unenhanced helical CT with enteric contrast material for suspected appendicitis in patients treated at a community hospital.
        Am J Roentgenol. 1998; 171: 997-1001
        • Garcia Pena B.M.
        • Mandl K.D.
        • Kraus S.J.
        • et al.
        Ultrasonography and limited computed tomography in the diagnosis and management of appendicitis in children.
        JAMA. 1999; 282: 1041-1046
        • Pena B.M.
        • Taylor G.A.
        • Lund D.P.
        • et al.
        Effect of computed tomography on patient management and costs in children with suspected appendicitis.
        Pediatrics. 1999; 104: 440-446
        • Rao P.M.
        • Rhea J.T.
        • Rattner D.W.
        Introduction of appendiceal CT: impact on negative appendectomy and appendiceal perforation rates.
        Ann Surg. 1999; 229: 344-349
        • Jabra A.A.
        • Shalaby-Rana E.I.
        • Fishman E.K.
        CT of appendicitis in children.
        J Comput Assist Tomogr. 1997; 21: 661-666
        • Kanegaye J.T.
        • Vance C.W.
        • Parisi M.
        • et al.
        Failure of technetium-99m hexamethylpropylene amine oxime leukocyte scintigraphy in the evaluation of children with suspected appendicitis.
        Ped Emerg Care. 1995; 11: 285-290
        • Turan C.
        • Tutus A.
        • Ozokutan B.H.
        • et al.
        The evaluation of technetium 99m-citrate scintigraphy in children with suspected appendicitis.
        J Pediatr Surg. 1999; 34: 1272-1275
        • Hormann M.
        • Paya K.
        • Eibenberger K.
        • et al.
        MR imaging in children with nonperforated acute appendicitis: value of unenhanced MR imaging in sonographically selected cases.
        Am J Roentgenol. 1998; 171: 467-470
        • Banani S.A.
        • Talei A.
        Can oral metronidazole substitute parenteral drug therapy in acute appendicitis? a new policy in the management of simple or complicated appendicitis with localized peritonitis: a randomized controlled clinical trial.
        Am Surg. 1999; 65: 411-416
        • Soderquist-Elinder C.
        • Hirsch K.
        • Bergdahl S.
        • et al.
        Prophylactic antibiotics in uncomplicated appendicitis during childhood–a prospective randomised study.
        Eur J Pediatr Surg. 1995; 5: 282-285
        • Parashar U.D.
        • Holman R.C.
        • Cummings K.D.
        • et al.
        Trends in intussusception-associated hospitalizations and deaths among US infants.
        Pediatrics. 2000; 106: 1413-1421
        • Ugwu B.T.
        • Legbo J.N.
        • Dakum N.K.
        • et al.
        Childhood intussusception: a 9-year review.
        Ann Trop Paediatr. 2000; 20: 131-135
        • Kuppermann N.
        • O'Dea T.
        • Pinckney L.
        • et al.
        Predictors of intussusception in young children.
        Arch Pediatr Adolesc Med. 2000; 154: 250-255
        • Heldrich F.J.
        Lethargy as a presenting symptom in patients with intussusception.
        Clin Pediatr. 1986; 25: 363-365
        • Yamamoto L.G.
        • Morita S.Y.
        • Boychuk R.
        • et al.
        Stool appearance in intussusception: assessing the value of the term “currant jelly”.
        Am J Emerg Med. 1997; 15: 293-298
        • Smith D.S.
        • Bonadio W.A.
        • Losek J.D.
        • et al.
        The role of abdominal x-rays in the diagnosis and management of intussusception.
        Pediatr Emerg Care. 1992; 8: 325-327
        • Yang S.T.
        • Tsai C.H.
        • Chen J.A.
        • et al.
        Differential diagnosis between intussusception and gastroenteritis by plain film.
        Acta Paediatr Taiwan. 1995; 36: 170-175
        • Bhisitkul D.M.
        • Listernick R.
        • Shkolnik A.
        • et al.
        Clinical application of ultrasonography in the diagnosis of intussusception.
        J Pediatr. 1992; 121: 182-186
        • Campbell J.B.
        Contrast media in intussusception.
        Pediatr Radiol. 1989; 19: 293-296
        • Gonzalez-Spinola J.
        • Del Pozo G.
        • Tejedor D.
        • et al.
        Intussusception: the accuracy of ultrasound-guided saline enema and the usefulness of a delayed attempt at reduction.
        J Pediatr Surg. 1999; 34: 1016-1020
        • Rohrschneider W.K.
        • Troger J.
        Hydrostatic reduction of intussusception under US guidance.
        Pediatr Radiol. 1995; 25: 530-534
        • Wang G.
        • Liu X.G.
        • Zitsman J.L.
        Nonfluoroscopic reduction of intussusception by air enema.
        World J Surg. 1995; 19: 435-438
        • Daneman A.
        • Alton D.J.
        • Ein S.
        • et al.
        Perforation during attempted intussusception reduction in children: a comparison of perforation with barium and air.
        Pediatr Radiol. 1995; 25: 81-88
        • Gu L.
        • Alton D.J.
        • Daneman A.
        • et al.
        John Caffey Award: intussusception reduction in children by rectal insufflation of air.
        Am J Roentgenol. 1988; 150: 1345-1348
        • Schmit P.
        • Rohrschneider W.K.
        • Christmann D.
        Intestinal intussusception survey about diagnostic and nonsurgical therapeutic procedures.
        Pediatr Radiol. 1999; 29: 752-761
        • Sandler A.D.
        • Ein S.H.
        • Connolly B.
        Unsuccessful air-enema reduction of intussusception: is a second attempt worthwhile?.
        Pediatr Surg Int. 1999; 15: 214-216
        • Lui K.W.
        • Wong H.F.
        • Cheung Y.C.
        • et al.
        Air enema for diagnosis and reduction of intussusception in children: clinical experience and fluoroscopy time correlation.
        J Pediatr Surg. 2001; 36: 479-481
        • Guo J.Z.
        • Ma X.Y.
        • Zhou Q.H.
        Results of air pressure enema reduction of intussusception: 6,396 cases in 13 years.
        J Pediatr Surg. 1986; 21: 1201-1203
        • Kornecki A.
        • Daneman A.
        • Navarro O.
        • et al.
        Spontaneous reduction of intussusception: clinical spectrum, management and outcome.
        Pediatr Radiol. 2000; 30: 58-63
        • Vicario S.
        • Price T.
        Intestinal obstruction.
        in: Tintinelli J. Kelen G. Stapczynski J. Emergency medicine: a comprehensive study guide. McGraw-Hill, New York2000: 539-543
        • Brolin R.E.
        • Krasna M.J.
        • Mast B.
        Use of tubes and radiographs in bowel obstruction.
        Ann Surg. 1987; 206: 126
        • Kusamoto H.
        • Yoshida M.
        • Takahashi I.
        • et al.
        Complications and diagnosis of Meckel's diverticulum in 776 patients.
        Am J Surg. 1992; 164: 382
        • Murali V.P.
        • Divaker D.
        • Thachil M.V.
        • et al.
        Meckel's diverticulum in adults.
        J Indian Med Assoc. 1989; 87: 116
        • Wyllie R.
        Intestinal duplications, meckel diverticulum, and other remnants of the omphalomesentric duct.
        in: Behrman R. Kliegman R. Jenson H. Nelson textbook of pediatrics. 17th edition. Elsevier, Philadelphia2004: 1236-1237
        • Hostetler M.
        • Bracikowski A.
        Pediatric gastrointestinal disorders.
        in: Marx J. Hockberger R. Walls R. Rosen's emergency medicine concepts and clinical practice. 5th edition. Mosby, St Louis (MO)2002: 2296-2314
        • St-Vil D.
        • Brandt M.L.
        • Panic S.
        • et al.
        Meckel's diverticulum in children: a 20 year review.
        J Pediatr Surg. 1991; 26: 1289-1292
        • Wade S.
        “Infantile colic”: review of therapeutic trials for colic.
        BMJ. 2001; 323: 437-440
        • Paulozzi L.J.
        Is Helicobacter pylori a cause of infantile hypertrophic pyloric stenosis?.
        Med Hypotheses. 2000; 55: 119-125
        • Spicer R.D.
        Infantile hypertrophic pyloric stenosis: a review.
        Br J Surg. 1982; 69: 128-135
        • Abbas A.E.
        • Weiss S.M.
        • Alvear D.T.
        Infantile hypertrophic pyloric stenosis: delays in diagnosis and overutilization of imaging modalities.
        Am Surg. 1999; 65: 73-76
        • Smith G.A.
        • Mihalov L.
        • Shields B.J.
        Diagnostic aids in the differentiation of pyloric stenosis from severe gastroesophageal reflux during early infancy: the utility of serum bicarbonate and serum chloride.
        Am J Emerg Med. 1999; 17: 28-31
        • Hernanz-Schulman M.
        • Sells L.L.
        • Ambrosino M.M.
        • et al.
        Hypertrophic pyloric stenosis in the infant without a palpable olive: accuracy of sonographic diagnosis.
        Radiology. 1994; 193: 771-776
        • Neilson D.
        • Hollman A.S.
        The ultrasonic diagnosis of infantile hypertrophic pyloric stenosis: technique and accuracy.
        Clin Radiol. 1994; 49: 246-247
        • De Backer A.
        • Bove T.
        • Vandenplas Y.
        • et al.
        Contribution of endoscopy to early diagnosis of hypertrophic pyloric stenosis.
        J Pediatr Gastroenterol Nutr. 1994; 18: 78-81
        • Yamamoto A.
        • Kino M.
        • Sasaki T.
        • et al.
        Ultrasonographic follow-up of the healing process of medically treated hypertrophic pyloric stenosis.
        Pediatr Radiol. 1998; 28: 177-178
        • Lin J.N.
        • Lou C.C.
        • Wang K.L.
        Intestinal malrotation and midgut volvulus: a 15-year review.
        J Formos Med Assoc. 1995; 94: 178-181
        • Harrison R.L.
        • Set P.
        • Brain A.J.
        Persistent value of air-augmented radiograph in neonatal high gastrointestinal obstruction, despite more modern techniques.
        Acta Paediatr. 1999; 88: 1284-1286
        • Shimanuki Y.
        • Aihara T.
        • Takano H.
        • et al.
        Clockwise whirlpool sign at color Doppler US: an objective and definite sign of midgut volvulus.
        Radiology. 1996; 199: 261-264
        • Weinberger E.
        • Winters W.D.
        • Liddell R.M.
        • et al.
        Sonographic diagnosis of intestinal malrotation in infants: importance of the relative positions of the superior mesenteric vein and artery.
        Am J Roentgenol. 1992; 159: 825-828
        • Zerin J.M.
        • DiPietro M.A.
        Superior mesenteric vascular anatomy at ultrasound in patients with surgically proved malrotation of the midgut.
        Radiology. 1992; 183: 693-694
        • Kliegman R.
        • Walsh M.
        Neonatal necrotizing enterocolitis: pathogenesis, classification, and spectrum of illness.
        Curr Probl Pediatr. 1987; 27: 215
        • Kulkarni A.
        • Vigneswaran R.
        Necrotizing enterocolitis.
        Indian J Pediatr. 2001; 68: 847-853