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Motility disorders in childhood
1Institute of Child Health, University of London, UK.
Bailliere'S Clinical Gastroenterology
|March 18, 1999
Summary
Childhood gastrointestinal motility disorders are common, stemming from nerve, muscle, or central nervous system issues. These conditions manifest as various digestive symptoms and can involve psychogenic and organic factors, particularly in irritable bowel syndrome.
Area of Science:
- Pediatric Gastroenterology
- Neurogastroenterology
- Developmental Pediatrics
Background:
- Motility disorders frequently impact children, presenting diverse gastrointestinal symptoms.
- These disorders arise from disruptions in gut motor control mechanisms.
- Causes include intrinsic gut diseases, central nervous system dysfunction, and altered humoral environments.
Purpose of the Study:
- To review the common causes and manifestations of pediatric gastrointestinal motility disorders.
- To elucidate the underlying pathophysiology of these conditions.
- To discuss the multifactorial nature of irritable bowel syndrome in children.
Main Methods:
- Literature review of pediatric gastrointestinal motility disorders.
- Analysis of the etiological factors and clinical presentations.
- Synthesis of information on neurogenic, myogenic, and environmental influences.
Main Results:
- Pediatric motility disorders present with symptoms like vomiting, abdominal pain, distension, constipation, and loose stools.
- Disorders often originate from congenital intrinsic gut diseases or central nervous system issues.
- Acquired alterations in the humoral environment also contribute to motility disturbances.
Conclusions:
- Pediatric gastrointestinal motility disorders are complex, with varied origins.
- Understanding the interplay of congenital and acquired factors is crucial for diagnosis and management.
- Irritable bowel syndrome in children is multifactorial, involving both psychogenic and organic elements.
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