液体和固体胃排空和与儿科患有消化不良的儿童患者的临床特征的相关性
Neha R Santucci1,2, Joshua Corsiglia1, Khalil El-Chammas1,2
1Gastroenterology, Hepatology and Nutrition, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Neurogastroenterology and motility
|November 6, 2023
概括
消化不良儿童经常表现出延迟的胃液排空,超过一半受影响. 异常的胃排空与精神健康障碍有关,这表明需要查和治疗.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 功能性胃肠道疾病 功能性胃肠道疾病
- 医疗成像医学成像
背景情况:
- 在儿科消化不良症中,胃空化的数据很少.
- 了解胃排空对于诊断和管理儿科消化不良至关重要.
研究的目的:
- 评估患有消化不良的儿童的固体和液体胃排空率.
- 为了将胃排空模式与临床特征和并发症相关联.
主要方法:
- 对1078名消化不良儿童的回顾性图表审查.
- 使用4小时的双相胃光学扫描来评估胃排空.
- 收集有关人口统计,症状和并发症的数据.
主要成果:
- 超过50%的患者观察到延迟液体排放;26.16%的患者有延迟液体与正常固体排放.
- 异常的固体排空 (快速/延迟) 在患有心理健康障碍的儿童中更为频繁 (p=0.027).
- 恶心与正常的固体排空有关 (p<0.0001),但在吐的年轻儿童中报告不足.
结论:
- 延迟的胃液排空在儿科消化不良中很常见.
- 双相胃空化研究可以指导这些儿童的治疗.
- 建议对心理健康障碍进行查和治疗,因为它们与异常的胃排空有关.
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