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DOI: 10.1055/s-0034-1390689
Akute Bauchschmerzen
Publikationsverlauf
Publikationsdatum:
25. November 2014 (online)
![](https://www.thieme-connect.de/media/paedu2d/201404/lookinside/thumbnails/10.1055-s-0034-1390689-1.jpg)
Akute Bauchschmerzen gehören zu den häufigen Vorstellungsgründen in pädiatrischen Notfallambulanzen sowie beim niedergelassenen Kinderarzt. Basis jeglicher differenzialdiagnostischer Überlegungen stellen eine fundierte Anamnese und die komplette körperliche Untersuchung dar. Ergänzt werden diese durch laborchemische Untersuchungen und die Bildgebung, hier in aller erster Linie die Sonografie (Abb. [8]). Neben akut interventionsbedürftigen Krankheitsbildern wie der akuten Appendizitis und der ileocolischen Invagination gilt es auch extrabdominelle Krankheitsbilder wie die Pneumonie in differenzialdiagnostische Überlegungen einzubeziehen. Darüber hinaus können sich auch chronisch-rezidivierende Bauchschmerzen, die häufiger funktioneller Natur sind, als akutes Geschehen präsentieren. Dies trägt zusammen mit der Fülle möglicher intra- und extraabdomineller Differenzialdiagnosen zur Komplexität des Symptoms „akute Bauchschmerzen“ bei.
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Literatur
- 1 Loening-Baucke V, Swidsinski A. Constipation as cause of acute abdominal pain in children. J Pediatr 2007; 151: 666-669
- 2 Scholer SJ, Pituch K, Orr DP et al. Clinical outcomes of children with acute abdominal pain. Pediatrics 1996; 98: 680-685
- 3 Hyams JS, Burke G, Davis PM et al. Abdominal pain and irritable bowel syndrome in adolescents: a community-based study. J Pediatr 1996; 129: 220-226
- 4 Apley J, Naish N. Recurrent abdominal pains: a field survey of 1,000 school children. Arch Dis Child 1958; 33: 165-170
- 5 Hyman PE, Milla PJ, Benninga MA et al. Childhood functional gastrointestinal disorders: neonate/toddler. Gastroenterology 2006; 130: 1519-1526
- 6 Rasquin A, Di Lorenzo C, Forbes D et al. Childhood functional gastrointestinal disorders: childhood/adolescent. Gastroenterology 2006; 130: 1527-1537
- 7 O’Donnell LJ, Virjee J, Heaton KW. Detection of pseudodiarrhoea by simple clinical assessment of intestinal transit rate. BMJ 1990; 300: 439-440
- 8 Lewis SJ, Heaton KW. „Stool form scale as a useful guide to intestinal transit time“. Scand. J. Gastroenterol 1997; 32: 920-924
- 9 Heinrich M. Stumpfes Bauchtrauma. In: von Schweinitz D, (Hrsg) Kinderchirurgie, Basiswissen und Praxis. München: Zuckschwerdt; 2008: 41-45
- 10 Borse NN, Gilchrist J, Dellinger AM et al. CDC childhood injury report: patterns of unintentional injuries among 0–19 year olds in the United States, 2000–2006. Atlanta, GA: Centers for Disease Control and Prevention, National Center for Injury Prevention and Control; 2008: 84-85
- 11 O’Connell PR. The vermiform appendix. In: Russell RCG, Williams NS, Bulstrode CJK, (Hrsg) Bailey & love’s short practice of surgery. London: Arnold; 2004: 1203-1218
- 12 Zhong D, Brower-Sinning R, Firek B et al. Acute appendicitis in children is associated with an abundance of bacteria from the phylum Fusobacteria. J Pediatr Surg 2014; 49: 441-446
- 13 Jackson HT, Mongodin EF, Davenport KP et al. Culture-Independent Evaluation of the Appendix and Rectum Microbiomes in Children with and without Appendicitis. PLoS One 2014; 9: e95414
- 14 Szavay P. Appendizitis – Neues und Bewährtes in Diagnostik, Therapie und Chirurgie. Monatsschr Kinderheilkd 2013; 161: 116-121
- 15 Alvarado A. A practical score for the early diagnosis of acute appendicitis. Ann Emerg Med 1986; 15: 557-564
- 16 Waseem M, Rosenberg HK. Intussusception. Pediatr Emerg Care 2008; 24: 793-800
- 17 Jenke AC, Klaaßen-Mielke R, Zilbauer M et al. Intussusception: incidence and treatment – insights from the nationwide German surveillance. J Pediatr Gastroenterol Nutr 2011; 52: 446-451
- 18 Chien M, Willyerd FA, Mandeville K et al. Management of the child after enema-reduced intussusception: home or hospital?. J Emerg Med 2013; 44: 53-57
- 19 Armon K, Stephenson T, Gabriel V et al. Determining the common medical presenting problems to an accident and emergency department. Arch Dis Child 2001; 84: 390-392
- 20 Guarino A, Albano F, Ashkenazi S et al. European Society for Paediatric Gastroenterology, Hepatology, and Nutrition/European Society for Paediatric Infectious Diseases evidence-based guidelines for the management of acute gastroenteritis in children in Europe. J Pediatr Gastroenterol Nutr 2008; 46: 81-184
- 21 WHO. The treatment of diarrhoea: A manual for physicians and other senior health workers. 2007 http://www.who.int/entity/maternal_child_adolescent/documents/9241593180/en/index.html
- 22 Koletzko S, Lentze MJ. Akute infektiöse Gastroenteritis. Leitlinien Pädiatrische Gastroenterologie. 2008 www.gpge.de www.awmf.de
- 23 Constipation Guideline Committee of the North American Society for Pediatric Gastroenterology and Nutrition. Evaluation and treatment of constipation in infants and children: recommendations of the North American Society of Pediatric Gastroenterology, Hepatology, and Nutrion. J Pediatr Gastroenterol Nutr 2006; 43: e1-e13
- 24 Tabbers MM, Di Lorenzo C, Berger MY et al. Evaluation and Treatment of Functional Constipation in Infants and Children: Evidence-Based Recommendations From ESPGHAN and NASPGHAN. J Pediatr Gastroenterol Nutr 2014; 58: 258-274
- 25 Van den Berg MM, Benninga MA, Di Lorenzo C. Epidemiology of childhood constipation: a systematic review. Am J Gastroenterol 2006; 101: 2401-2409
- 26 Dixon MF, Genta RM, Yardley JH et al. Classification and grading of gastritis. The updated Sydney Syste. International workshop on the Histopathology of gastritis, Houston 1994. Am J Surg Pathol 1996; 20: 1161-1181
- 27 Koletzko S, Jones NL, Goodman KJ et al. Evidence-based guidelines from ESPGHAN and NASPGHAN for Helicobacter pylori infection in children. J Pediatr Gastroenterol Nutr 2011; 53: 230-243
- 28 Fischbach W, Malfertheiner P, Hoffmann JC et al. S3-Leitlinie „Helicobacter pylori und gastroduodenale Ulkuskrankheit“. Z Gastroenterol 2009; 47: 68-102
- 29 Sarles H, Adler G, Dani R et al. The pancreatitis classification of Marseilles-Rome 1988. Scand J Gastroenterol 1989; 24: 641-642
- 30 Comfort MW, Gross JB. Chronic pancreatitis. Am J Med 1956; 21: 596-617
- 31 Nydegger A, Heine RG, Ranuh R et al. Changing incidence in acute pancreatitis: 10-year experience at the Royal Children’s Hospital, Melbourne. J Gastroenterol Hepatol 2007; 22: 1313-1316
- 32 Witt H, Beer S, Rosendahl J et al. Variants in CPA1 are strongly associated with early onset chronic pancreatitis. Nat Genet 2013; 45: 1216-1220
- 33 Marik PE. What is the best way to feed patients with pancreatitis?. Curr Opin Crit Care 2009; 15: 131-138
- 34 Banks PA, Freeman ML. Practice Parameters Committee of the American College of Gastroenterology. Practice guidelines in pancreatitis. Am J Gastroenterol 2006; 101: 2379-2400
- 35 Palasciano G, Portincasa P, Vinciguerra V et al. Gallstone prevalence and gallbladder volume in children and adolescents: an epidemiological ultrasonographic survey and relationship to body mass index. Am J Gastroenterol 1989; 84: 1378-1382
- 36 Banerjee S. Abdominal pain. In: Bishop W. Pediatric Practice: Gastroenterology. New York: McGraw-Hill; 2010: 2-18