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Outcome for children with cyclical vomiting syndrome
E Fitzpatrick1, B Bourke, B Drumm
1UCD School of Medicine and Medical Science, The Children's Research Centre Our Lady's Children's Hospital, Crumlin, Dublin, Ireland.
Cyclical vomiting syndrome (CVS) in children often resolves, but many still experience other somatic symptoms like headaches and abdominal pain. A diagnosis and information significantly impacted vomiting severity for most families.
Area of Science:
- Pediatric Gastroenterology
- Childhood Functional Gastrointestinal Disorders
- Somatic Symptom Disorders
Background:
- Cyclical vomiting syndrome (CVS) significantly impacts children and their families.
- Understanding the long-term outcomes of CVS is crucial for effective management.
Purpose of the Study:
- To examine the long-term outcomes of children diagnosed with CVS between 1993 and 2003.
- To assess symptom resolution and the persistence of other somatic complaints.
Main Methods:
- Retrospective review of clinical records for children diagnosed with CVS.
- Follow-up contact with parents to determine current well-being.
- Analysis of demographic features and presenting symptoms.
Main Results:
- 61% of children experienced resolution of vomiting, with 39% resolving symptoms shortly after diagnosis.
- Persistent somatic symptoms were common, including headaches (42%) and abdominal pain (37%).
- Positive diagnosis and information positively impacted vomiting severity for 78% of parents.
Conclusions:
- While a majority of children achieve symptom resolution, a significant portion continue to experience other somatic issues.
- The long-term burden of CVS extends beyond vomiting episodes.
- Early diagnosis and supportive information appear beneficial for managing CVS severity.
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