Clinical Pediatric Gastric Problems

The gastrointestinal tract (GIT) arises initially during the process of gastrulation from the endoderm of the trilaminar embryo (week 3) and extends from the buccopharyngeal membrane to the cloacal membrane. The tract and associated organs later have contributions from all the germ cell layers. Digestion is the breakdown of food into smaller particles or individual nutrients. Obesity is the most prevalent nutritional disorder among children and adolescents in the United States. Approximately 21-24% of American children and adolescents are overweight, and another 16-18% is obese; the prevalence of obesity is highest among specific ethnic groups. Chronic abdominal pain(CAP) persists for more than 3 mo. either continuously or intermittently. Intermittent pain may be referred to as recurrent abdominal pain (RAP). CAP occurs any time after 5 years of age. Up to 10% of children require evaluation for RAP. 

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