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Related Concept Videos

Pathophysiology of Vomiting01:22

Pathophysiology of Vomiting

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Vomiting is a complex physiological response to expel harmful or irritating substances from the body. It's a defensive mechanism triggered by stimuli like poisons, microbial toxins, cytotoxic drugs, and mechanical abdominal distension. The process is centrally coordinated by the vomiting (or emetic) center located in the medulla of the brainstem. This area, rich in muscarinic M1, histamine H1, neurokinin 1 (NK1), and serotonin 5-HT3 receptors, coordinates the act of vomiting through...
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Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation01:30

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Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
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Bulimia Nervosa01:30

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Bulimia nervosa is a complex and severe eating disorder characterized by a cyclical pattern of binge-and-purge eating pattern. It generally involves an episode of binge eating, followed by compensatory behaviors such as vomiting, excessive exercise, laxative use, or fasting, to prevent weight gain. Despite often maintaining a normal weight, individuals with bulimia are intensely preoccupied with their body image and harbor an overwhelming fear of gaining weight. This can contribute to the...
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Irritable Bowel Syndrome I: Introduction01:17

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Irritable Bowel Syndrome (IBS) is characterized by functional disturbances in the gastrointestinal system, presenting a cluster of symptoms without evident structural or biochemical abnormalities. It primarily affects the large intestine and may cause abdominal pain, bloating, excessive gas, diarrhea, constipation, or both.
IBS is a chronic condition that can persist over a long period or recur frequently.
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Altered...
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Chronic Bowel Disorders: Introduction01:17

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Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
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Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies01:28

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Peptic ulcer disease (PUD) presents with diverse symptoms depending on the location and severity of the ulcer. Clinical manifestations of peptic ulcer include dull pain and a burning sensation in the mid-epigastric region.
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Cyclic vomiting syndrome, a common language? A 20-year bibliometric study.

Sylvain Redon1, Anne Donnet2,3

  • 1Department of Evaluation and Treatment of Pain, FHU INOVPAIN, CHU Timone, AP-HM, Marseille, France. sylvain.redon@ap-hm.fr.

Acta Neurologica Belgica
|March 29, 2023
PubMed
Summary

Cyclic vomiting syndrome (CVS) research has grown, but the International Classification of Headache Disorders (ICHD) criteria are underutilized, especially by gastroenterologists. A unified classification is needed for better diagnosis and treatment of this episodic disorder.

Keywords:
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Area of Science:

  • Gastroenterology and Neurology
  • Medical Classifications
  • Bibliometrics

Background:

  • Cyclic vomiting syndrome (CVS) is an episodic disorder characterized by intense nausea and vomiting, often starting in childhood.
  • Diagnostic criteria for CVS have evolved, with ICHD-3 and Rome IV being prominent.
  • ICHD-3 uniquely recognizes the predictable periodicity of CVS episodes.

Purpose of the Study:

  • To analyze the evolution of Cyclic Vomiting Syndrome (CVS) literature over the past two decades.
  • To focus on the diagnostic criteria for CVS used in published research.
  • To identify trends in classification system usage within CVS literature.

Main Methods:

  • A bibliometric study was conducted using the Web of Science database.
  • Searched for English-language articles and reviews on CVS published between 2001 and 2020.
  • Analyzed papers to determine which CVS classification systems were used or mentioned.

Main Results:

  • A total of 213 papers were analyzed, with a significant portion focusing on pediatric CVS.
  • Gastroenterology specialists authored most papers; neurology-affiliated authors frequently cited ICHD-3.
  • The Rome III classification was most commonly used or mentioned, while ICHD-3 was less prevalent overall.

Conclusions:

  • Publication on CVS has significantly increased over the last 20 years.
  • There is a notable lack of ICHD criteria reference, particularly among gastroenterologists.
  • A consensus classification for CVS is recommended to unify research and clinical practice.