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Recent concepts on cyclic vomiting syndrome in children
1Department of Pediatrics, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seoul, Korea.
Insights
Cyclic vomiting syndrome (CVS) requires careful diagnosis and management. Early intervention and identifying triggers can improve the quality of life for affected children and adults.
Area of Science:
- Gastroenterology
- Pediatrics
- Functional Gastrointestinal Disorders
Background:
- Cyclic vomiting syndrome (CVS) is a functional gastrointestinal disorder affecting children and adults.
- Recurrent vomiting episodes in CVS can significantly impair long-term quality of life, especially in pediatric patients.
Purpose of the Study:
- To emphasize the importance of careful patient assessment for suspected CVS.
- To highlight the necessity of accurate diagnosis using established criteria and excluding organic mimics.
- To outline optimal therapeutic strategies for symptom improvement and complication reduction in CVS.
Main Methods:
- Diagnosis based on established criteria for CVS.
- Exclusion of other organic diseases with similar symptoms.
- Implementation of optimal therapy for acute phases and long-term prophylaxis.
- Identification of potential triggering factors for vomiting episodes.
Main Results:
- Accurate diagnosis and exclusion of organic diseases are crucial for effective CVS management.
- Optimal therapy during prodromal and emetic phases can improve symptoms and reduce complications.
- Long-term prophylactic therapy and trigger identification aid in preventing vomiting episodes.
Conclusions:
- A systematic approach to CVS diagnosis and management is recommended.
- Improving clinical outcomes in CVS patients requires careful assessment, accurate diagnosis, and tailored therapeutic strategies.
- Early identification and management of triggers can significantly benefit patients with cyclic vomiting syndrome.
Abstract:
Cyclic vomiting syndrome (CVS) is a functional gastrointestinal disorder that can occur in both children and adults. Clinical courses of CVS manifesting recurrent severe vomiting episodes and interval illness may affect the long-term quality of life in children with CVS. Therefore, we should be careful in accessing a patient suggestive of CVS. Accurate diagnosis based on diagnostic criteria for CVS and the exclusion from other organic diseases mimicking clinical manifestations of cyclic vomiting is absolutely required. In patients diagnosed as CVS, optimal therapy should be performed to improve symptoms and to reduce complications in prodromal phase and emetic phase, and long-term prophylactic therapy should be tried to prevent the development of vomiting episodes. The identification of triggering factors which induce vomiting episodes might be helpful in preventing vomiting attacks. Systematic approach should be recommended to improve clinical outcome of CVS.
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