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临床试验/NCT07154940
NCT07154940尚未招募不适用

Diagnostic Yeild of Esophagogastrodudenoscopy in Pediatric Chronic Abdominal Pain

Assiut University0 个研究点目标入组 100 人开始时间: 2025年10月1日最近更新:

试验速览

阶段
不适用
状态
尚未招募
入组人数
100
主要终点
Determine the prevalence of endoscopic and histopathological abnormalities in symptomatic children undergoing esophagogastrodudenoscopy for chronic abdominal pain

研究概览

简要总结

Evaluate the diagnostic yeild of esophagogastrodudenoscopy in children with chronic abdominal pain

研究设计

研究类型
Observational
观察模型
Cohort
时间视角
Prospective

入排标准

年龄范围
6 Years 至 18 Years(Child, Adult)
性别
All
接受健康志愿者

入选标准

  • Children aged 6 to 18 years presenting with chronic abdominal pain which defined according to the Rome IV criteria as persistent or recurring abdominal pain that has been present for at least 3 months, with symptom onset at least 6 months prior to diagnosis. This pain must be continuous or nearly continuous, and only occasionally related to physiological events like eating or defecation. Furthermore, the pain must limit some aspect of daily functioning, and it is not feigned or explained by another medical condition and referred to GIT unit for Esophagogastroduodenoscopy and not undertreatment based on clinical judgment due to the presence of one or more of the following:
  • Alarm symptoms (e.g., weight loss, anemia, Hematemesis, Dysphagia, persistent vomiting, nocturnal pain)
  • Failure of empiric therapy (e.g., proton pump inhibitors or dietary modifications)
  • Suspicion of an underlying organic disease (e.g., celiac disease or Helicobacter pylori infection)
  • Exclusion criteria:
  • Acute abdominal pain
  • Children aged less than 6 years and more than 18 years
  • Recent use of proton pump inhibitors (within 2 weeks) or antibiotics (within 4 weeks) before endoscopy.
  • Children meeting the criteria of functional abdominal pain according to Rome IV criteria in which was defined as as recurrent or chronic abdominal pain that is not explained by another medical condition and is not solely associated with physiological events like eating or menstruation. It must occur at least 4 times per month for at least 2 months, and diagnostic evaluation should rule out other conditions .
  • Children with contraindications to undergoing EGD (e.g., severe respiratory or cardiac conditions).
  • Children who refuse to participate or whose parents do not provide consent.
  • Children previously diagnosed with recurrent abdominal pain -

排除标准

  • 未提供

结局指标

主要结局

Determine the prevalence of endoscopic and histopathological abnormalities in symptomatic children undergoing esophagogastrodudenoscopy for chronic abdominal pain

时间窗: Oct 2025 to april 2027

次要结局

未报告次要终点

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Amal Ayoub Ibrahim Hinnawi

Resident doctor

Assiut University

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