自闭症谱系障碍儿童初步胃肠道评估的表征:一项描述性研究
Mojdeh Mostafavi1, Wael Sayej2
1Department of Pediatric Gastroenterology & Nutrition, Massachusetts General Hospital, 55 Fruit St, Boston, MA, 02114, USA. mmostafavi1@mgb.org.
Journal of autism and developmental disorders
|April 15, 2024
概括
在患有自闭症谱系障碍 (ASD) 的儿童中,胃肠道问题很常见. 许多被诊断出ASD和GI症状的人在评估后接受了功能性胃肠道疾病诊断.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 神经发育障碍 神经发育障碍
- 自闭症谱系障碍研究研究
背景情况:
- 自闭症谱系障碍 (ASD) 在美国影响36个儿童中的1个,相关的胃肠道 (GI) 症状的发病率很高.
- 了解ASD并发症,如胃肠道问题,由于患病率和成本的上升至关重要.
研究的目的:
- 描述患有自闭症的儿科患者的特征,以进行胃肠病学评估.
- 分析该人群中转诊原因,评估组件和诊断结果.
主要方法:
- 对131名被诊断患有自闭症的儿科患者进行了回顾性图表审查.
- 数据收集的重点是指引理由,评估程序和结果.
主要成果:
- 便秘,腹痛和食困难是主要的转诊原因.
- 60.3%的患者接受了功能性胃肠道疾病诊断.
- 内镜评估显示40% (粗) 和40% (病理) 的异常.
结论:
- 很大一部分患有自闭症的儿童经历了胃肠道症状,导致胃肠道学转诊.
- 在这个队列中,功能性胃肠道疾病经常被诊断出来.
- 许多患者的测试结果异常,但功能性诊断很常见,突出了诊断的复杂性.
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