Page 71 - Abstract Book KONIKA 18

Gastroenterohepatology

O-GEH-004
Clinical Symptoms Predict Endoscopic Findings
in Children with Recurrent Abdominal Pain

Mega Nur Purbo Sejati, Evi Rokhayati, Rekno Widati, Bambang Soebagyo
Department of Child Health, Universitas Sebelas Maret/Dr. Moewardi General Hospital, Surakarta,
Central Java, Indonesia

Abstract
Background An upper endoscopy in children is often used to find the cause of gastrointestinal symptoms.
However, endoscopy involves discomfort and clinical sign such as recurrent abdominal pain has been shown
not to predict pathological conditions. We need clinical prediction strategies to identify patients with significant
upper gastrointestinal pathology. Objective To find a correlation between clinical symptoms in children with
recurrent abdominal pain to predict major endoscopic findings (ulcer). Methods This cross-sectional study
was conducted in Dr. Moewardi Hospital, from January 2016 to March 2021. Total 86 children of age 2 up to
17 years, female predominance (53.5%), getting an upper endoscopy to help diagnose gastrointestinal issues.
Analysis in this study used the chi-square test. Results In the patient with abdominal pain, vomiting (54.5%)
was the most frequently noted clinical symptom, nausea (39.4%), anemia (24.2%), gastrointestinal bleeding
(15.2%). Major pathology (ulcer) was found at endoscopy in 33,7% of patients with recurrent abdominal
pain. There was correlation between clinical symptoms, nausea (P=0.012), vomiting (P=0.011) and anemia
(P=0.047) with major endoscopic findings among children with recurrent abdominal pain. Conclusion We
can expect clinical symptoms such as nausea, vomiting, and anemia in children with recurrent abdominal
pain to predict endoscopic findings.
Keywords: symptoms; endoscopy; abdominal pain

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