To study the role of Upper Gastrointestinal Endoscopy in evaluation of recurrent abdominal pain in children without a known cause. 

Methods: 

We have enrolled 150 patients in our study. Out of these 50 patients excluded from study because in these cause of pain abdomen is other than Gastrointestinal. In all Patients we have done complete hemogram with ESR, liver functions tests, complete urine and stool examination and USG abdomen to rule out other causes of pain abdomen. All patients of RAP subjected to Upper Gastrointestinal Endoscopy and two biopsy samples from antral part of stomach were taken, one was sent for histopathological examination and other subjected to Rapid Urease Test media for the diagnosis of H.Pylori infection.   Results: 

Maximum cases were between 4-10 years age group. On GI Endoscopy was done in 49(49%) had normal finding, while mucosal hyperaemia was seen in 18(18%). On histopathological 50 (50%) patients had normal finding, 19(19%) had superficial gastritis, 10 (10%) had lymphocytic infiltration. 28(28%) cases had RUT positive. Among the causes of RAP, H Pylori gastritis was found in 28(28%) cases, Functional abdominal pain in 22(22%), Celiac disease in 14(14%), Giardiasis in 8(8%),  

Pediatric Upper GI Endoscopy is a safe & useful in the diagnosis of RAP. Upper GI Endoscopy should be performed in all children with abdominal pain and alarming signs.