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- Title
Parentally reported early childhood upper gastrointestinal symptoms alleviate at school age.
- Authors
Helin, Noora; Kolho, Kaija‐Leena; Merras‐Salmio, Laura
- Abstract
Aim: This study estimated follow‐up outcomes for children presenting with troublesome upper gastrointestinal (GI) symptoms in early childhood. Methods: We identified from our upper endoscopy registry children with undefined GI symptoms having undergone an oesophagogastroduodenoscopy to rule out oesophagitis at a median age of 2.6 years in 2006–2016. We included only those with normal findings. In early 2020, we performed a National Patient Data Repository and Prescription Service review to note patients' current GI symptoms, medications and medical consultations. We also employed a study‐specific questionnaire with a validated quality‐of‐life measure (the PedsQL). Results: After a median of 7.9 years of follow‐up, the children (n = 199) had a median age of 10.6 years. Medical consultations related to upper GI symptoms were rare. However, parents reported recurrent GI symptoms in 24% of the children, and 41% followed a specific diet. Regular anti‐acid medication was in use in 3.5% of the cohort, more often when with a predisposing condition for reflux disease. The current quality of life was good. Conclusion: Although some upper GI symptoms may persist after early childhood, patients without diseases predisposing to reflux disease have a good quality of life without GI‐related morbidity in school age.
- Subjects
SYMPTOMS; QUALITY of life; HEARTBURN; MEDICAL consultation; PARENTS; GASTROINTESTINAL hemorrhage; DRUGS
- Publication
Acta Paediatrica, 2022, Vol 111, Issue 1, p174
- ISSN
0803-5253
- Publication type
Article
- DOI
10.1111/apa.16106