Chronic abdominal pain syndrome in pediatric practice

The publication collects and systematizes the main factors and concepts of chronic abdominal pain syndrome, which relate to various etiological directions of the development of this phenomenon and their changes in the course of a number of pathological conditions. The work presents modern syndromal terminology and a list of regulatory documents regarding this pathological condition in pediatric practice. Despite the fact that during the last decade, numerous studies have been published regarding methods of diagnosis and treatment of chronic abdominal pain syndrome, inadequate relief of chronic pain remains a pressing problem in children. Аim - a review of modern views on the etiopathogenesis of chronic abdominal pain syndrome and their analysis for an adequate perception of the existing problem in solving the issues of its diagnosis and treatment, prevention of negative consequences and prevention of possible complications. Analysis of literary sources and own experience convincingly attests to the fact that chronic abdominal pain syndrome in children is a purely individual phenomenon that depends only on the leading pathological process in the abdominal cavity, which can be aggravated by the presence of concomitant pathology. Understanding this fact and a full-fledged laboratory-instrumental examination will make it possible to carry out a balanced differential diagnosis with the determination of the leading factor of chronic abdominal pain syndrome in each specific clinical situation. Conclusions. Despite the multifaceted symptoms of chronic abdominal pain syndrome, in order to successfully and timely determine the leading diagnosis and choose the optimal treatment tactics, we consider the further development of their algorithms and standards of pathology taking into account its age aspects, at various stages of providing timely medical care in order to reduce the number of complications and negative consequences in this category of patients. The authors declare no conflict of interest.