在照顾有功能性便秘的儿童当前的做法:什么是拖延?
Julia M J van der Zande1,2, Ilan J N Koppen2, Desale Yacob1
1Department of Pediatrics, Division of Gastroenterology, Hepatology, and Nutrition, Nationwide Children's Hospital, Columbus, Ohio, USA.
Journal of pediatric gastroenterology and nutrition
|June 26, 2024
概括
世界各地的儿科胃肠道科医生有不同的方法来治疗儿童的难治功能性便秘 (FC). 需要国际指导方针来标准化儿科FC管理的诊断测试和手术决策.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 功能性肠道疾病 功能性肠道疾病
- 临床实践模式 临床实践模式
背景情况:
- 儿童的可吸收功能性便秘 (FC) 缺乏基于证据的评估和治疗指南.
- 当前的管理策略在国际小儿胃肠道病学家之间有很大的差异.
研究的目的:
- 在全球范围内评估和比较儿科胃肠病学家的实践模式.
- 为了确定儿童难治性FC的诊断测试和治疗方法的差异.
主要方法:
- 在第2届儿童神经胃肠病学和运动性世界大会上,对来自18个国家的90名儿科胃肠病学家进行了调查.
- 该调查涵盖了诊断测试,非药物和药物治疗,以及难以治疗的FC的手术选择.
主要成果:
- 直肠测量是最常见的诊断试验,以检测难治的FC.
- 观察到显著的区域差异,特别是在北美和欧洲的实践中,关于松剂的使用,促分泌药物和外科干预的做法.
- 北美人更有可能使用兴奋剂药,促分泌药物和前级失禁浸泡剂 (ACE).
- 欧洲人更有可能在手术前需要进行结肠过境检测.
结论:
- 在全球范围内,评估和治疗儿科难治性FC的实践模式是高度变化的.
- 显然需要国际临床指南来规范诊断和手术决策过程.
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