儿童的功能性胃肠道疾病:一个单一的中心体验
Amela Selimović1, Nina Mekić2, Selma Terzić1
1Clinic for Childhood Diseases, University Clinical Centre Tuzla, Tuzla, Bosnia and Herzegovina.
概括
儿童的功能性胃肠道疾病 (FGID) 是常见的,功能性便秘是最常见的诊断. 许多患有FGID的儿童不需要广泛的诊断程序或长期专家护理.
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
背景情况:
- 儿童的功能性胃肠道疾病 (FGIDs) 是一个重大的临床和心理社会挑战.
- 了解儿童群体中FGIDs的特征对于有效管理至关重要.
研究的目的:
- 描述儿科FGIDs的病因学,临床特征和干预措施.
- 分析人口统计数据,诊断途径和第三级护理环境中的结果.
主要方法:
- 对209名被诊断患有FGID的儿童 (1至15岁) 进行了回顾性研究.
- 收集的数据包括人口统计,症状持续时间,诊断和随访要求.
- 患者被分为三个年龄组:0-3,4-10,11-15岁.
主要成果:
- FGID占儿科胃肠病学转诊的31.2%.
- 功能性便秘 (47.4%) 是最常见的诊断,其次是功能性腹痛 (37.2%) 和功能性消化不良 (12.0%).
- 女性占主导地位,4-10岁的年龄组是最常见的;中位数症状持续时间为一年.
结论:
- FGID在儿童中很普遍,尽管经常被患者和医生低估.
- 对于儿科FGID来说,广泛的诊断工作通常是不必要的.
- 很大一部分患有FGID的儿童可以停止专业护理的随访.
相关概念视频
Gastrointestinal Motility Disorders
359
Gastrointestinal or GI motility disorders are characterized by irregular gastrointestinal tract movements, disrupting food transit from the mouth to the anus. They are caused by damage or dysfunction in gut muscles or nerves. These disorders can cause symptoms such as severe constipation, diarrhea, abdominal pain, and swallowing difficulties. Disorders can affect any segment of the GI tract and range widely in severity, from common conditions like GERD to life-threatening conditions like...
359
Assessment of the Gastrointestinal System I: Subjective Data
198
Assessing the gastrointestinal (GI) system is a complex process that begins with collecting subjective data. This data, collected through patient interviews, provides crucial insights into the patient's health history, perception patterns, and lifestyle habits, all contributing significantly to GI health.
Health History
The initial step in assessing the GI system is obtaining a comprehensive health history. This includes inquiring about the patient's history or presence of problems...
Health History
The initial step in assessing the GI system is obtaining a comprehensive health history. This includes inquiring about the patient's history or presence of problems...
198
Chronic Bowel Disorders: Introduction
450
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.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
450
Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
161
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:
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:
161
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
334
Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
334
Other Disorders of Digestive System
830
The gastrointestinal tract is susceptible to various disorders. If the lower esophageal sphincter is damaged, stomach acid can flow back into the esophagus, causing irritation and inflammation of the lining. This condition is called gastroesophageal reflux disease (known as heartburn) and may cause chest pain and difficulty swallowing. In the stomach, prolonged use of nonsteroidal anti-inflammatory drugs like aspirin, chronic alcohol consumption, bacterial infections such as Helicobacter...
830


