在患有慢性便秘的儿童中评估含量
Abdurrahman Zarif Güney1, Güzide Doğan2, Ali Toprak1
1Department of Pediatrics, Faculty of Medicine, Bezmialem Vakıf University, İstanbul, Türkiye.
The Turkish journal of pediatrics
|November 25, 2024
概括
患有慢性便秘的儿童的血水平 (BLL) 比健康儿童高. 这表明暴露和便秘之间存在联系,强调了在受影响儿童中进行BLL测试的必要性.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 环境健康 环境健康
- 毒理学 毒理学 毒理学
背景情况:
- 慢性便秘是一种常见的儿科问题,具有多因素的原因.
- 暴露是一种已知的神经毒素,但其在便秘等胃肠道疾病中的作用不太清楚.
- 评估患有便秘的儿童的负担对于确定潜在的环境贡献者至关重要.
研究的目的:
- 为了比较患有慢性便秘的儿童与健康对照者的血水平 (BLL) 和头发水平 (HLL).
- 调查暴露与儿童便秘病因之间的关联.
- 探索儿童群体中BLL和HLL之间的相关性.
主要方法:
- 一项病例控制研究涉及84名患有便秘的儿童和84名健康的对照,年龄在3-18岁之间.
- 通过全面的病史,体检和实验室测试,排除有机疾病.
- 使用标准化方法分析血液和头发样本以检测度.
主要成果:
- 与对照组 (1.61μg/dL) 相比,患有便秘的儿童的BLL显著增加 (3.66μg/dL).
- 几乎一半 (48.8%) 的便秘儿童超过了3.5μg/dL的参考BLL,而对照组只有4.8%.
- 两组之间没有观察到HLL的显著差异;BLL是一个比HLL更可靠的指标,HLL因性别和年龄而异.
结论:
- 血水平升高与儿童慢性便秘之间存在显著的关联.
- 医疗保健提供者应将暴露视为儿童便秘的潜在因素.
- 对于患有慢性便秘的儿童,可能需要进行例行BLL测试,以指导预防和干预策略.
相关概念视频
Assessment of the Rectum and Anus
157
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
157
Lower GI Series: Barium Enema
189
A Barium Enema, or a lower GI series, is a specialized radiographic examination designed to visualize the lower gastrointestinal tract, specifically the colon and rectum. This procedure is instrumental in diagnosing various conditions such as colorectal cancer, polyps, diverticulosis, and inflammatory bowel disease.
Procedure Details
The examination begins by inserting a lubricated rectal tube into the patient's rectum to administer a radiopaque barium solution. The barium flow is carefully...
Procedure Details
The examination begins by inserting a lubricated rectal tube into the patient's rectum to administer a radiopaque barium solution. The barium flow is carefully...
189
Drugs for Treatment of Constipation-Predominant IBS
134
Pharmacological therapies for IBS-C are designed to alleviate abdominal discomfort and enhance bowel function. In patients with IBS-C, fiber supplements may help soften stools and decrease straining, but may also lead to increased gas production and bloating. Osmotic laxatives like milk of magnesia are frequently used to soften stools and increase stool frequency in IBS-C patients. In addition, two drugs approved for use in severe IBS-C adult cases are linaclotide (Linzess) and lubiprostone...
134
Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
141
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:
141
Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy
51
This lesson explores three gastrointestinal imaging techniques: radionuclide testing, colonic transit studies, and virtual colonoscopy.
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
51
Serum Laboratory Studies, Stool Test, Breath Test
316
Gastrointestinal (GI) diagnostic studies are pivotal in confirming, ruling out, diagnosing, or staging various diseases, including cancers. Following diagnosis, allocating time for discussions with the patient and providing informational resources is crucial. Diagnostic assessments of the GI tract often occur in outpatient settings like endoscopy suites or GI labs. Preparation for these tests may include dietary restrictions, fasting, liquid bowel preparations, laxatives, enemas, and the...
316


