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Article Dans Une Revue Digestive and Liver Disease Année : 2021

Functional abdominal pain disorders and patient- and parent- reported outcomes in children with inflammatory bowel disease in remission

Alexis Mosca
  • Fonction : Auteur
Thierry Lamireau
Raphael Enaud
  • Fonction : Auteur
Haude Clouzeau
  • Fonction : Auteur
Frank Ruemmele
  • Fonction : Auteur
Vanessa Degas
  • Fonction : Auteur
Anne Breton
  • Fonction : Auteur
Edouard Lacotte
  • Fonction : Auteur
Emilie Chaillou-Legault
  • Fonction : Auteur
Nicolas Caron
  • Fonction : Auteur
Jane Languepin
  • Fonction : Auteur
Stephanie Willot
  • Fonction : Auteur
Ahlem Bouazza
  • Fonction : Auteur
Claire Spyckerelle
  • Fonction : Auteur
Georges Dimitrov
  • Fonction : Auteur
Nadege Thomassin
  • Fonction : Auteur
Djamal Djeddi
  • Fonction : Auteur
Audrey Vanrenterghem
  • Fonction : Auteur
Camille Grandjean
  • Fonction : Auteur
Jerome Viala
  • Fonction : Auteur

Résumé

BACKGROUND: Chronic abdominal pain occurs frequently in pediatric patients with inflammatory bowel disease (IBD) in remission. AIMS: To assess the prevalence and factors associated with Functional Abdominal Pain Disorders among IBD children in remission (IBD-FAPD). METHODS: Patients with IBD for > 1 year, in clinical remission for ≥ 3 months were recruited from a National IBD network. IBD-FAPDs were assessed using the Rome III questionnaire criteria. Patient- or parent- reported outcomes were assessed. RESULTS: Among 102 included patients, 57 (56%) were boys, mean age (DS) was 15.0 (± 2.0) years and 75 (74%) had Crohn's disease. Twenty-two patients (22%) had at least one Functional Gastrointestinal Disorder among which 17 had at least one IBD-FAPD. Past severity of disease or treatments received and level of remission were not significantly associated with IBD-FAPD. Patients with IBD-FAPD reported more fatigue (peds-FACIT-F: 35.9 ± 9.8 vs. 43.0 ± 6.9, p = 0.01) and a lower HR-QoL (IMPACT III: 76.5 ± 9.6 vs. 81.6 ± 9.2, p = 0.04) than patients without FAPD, and their parents had higher levels of State and Trait anxiety than the other parents. CONCLUSIONS: Prevalence of IBD-FAPD was 17%. IBD-FAPD was not associated with past severity of disease, but with fatigue and lower HR-QoL.
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hal-03325068 , version 1 (24-08-2021)

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Lea Chantal Tran, Laure Bridoux-Henno, Swellen Gastineau, Alain Dabadie, Emilie Carre, et al.. Functional abdominal pain disorders and patient- and parent- reported outcomes in children with inflammatory bowel disease in remission. Digestive and Liver Disease, 2021, 53 (10), pp.1268-1275. ⟨10.1016/j.dld.2021.05.034⟩. ⟨hal-03325068⟩
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