Document Detail

Childhood functional gastrointestinal disorders: neonate/toddler.
MedLine Citation:
PMID:  16678565     Owner:  NLM     Status:  MEDLINE    
Recognizing the importance of childhood functional gastrointestinal disorders in understanding adult functional gastrointestinal disorders, and encouraging clinical and research interest, the Rome Coordinating Committee added a pediatric working team to Rome II in 1999. For Rome III, there was an increase from 1 to 2 pediatric working teams. This report summarizes the current consensus concerning functional disorders in infants and toddlers. Another report covers disorders diagnosed more often in school-aged children and adolescents. The symptoms from functional gastrointestinal disorders in children younger than 5 years depend on maturational factors in anatomy, gastrointestinal physiology, and intellectual and affective functioning. There has been little or no change for infant regurgitation, infant rumination syndrome, or infant dyschezia. Cyclic vomiting syndrome may be diagnosed after 2 rather than 3 episodes. The description of infant colic has been expanded, although there was consensus that infant colic does not reflect gastrointestinal malfunction. The greatest change was in functional constipation. Functional constipation and functional fecal retention in the 1999 report were merged into a single entity: functional constipation. Data-driven changes in diagnostic criteria for functional constipation appear to be less rigid and more inclusive than previous criteria.
Paul E Hyman; Peter J Milla; Marc A Benninga; Geoff P Davidson; David F Fleisher; Jan Taminiau
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Gastroenterology     Volume:  130     ISSN:  0016-5085     ISO Abbreviation:  Gastroenterology     Publication Date:  2006 Apr 
Date Detail:
Created Date:  2006-05-08     Completed Date:  2006-06-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0374630     Medline TA:  Gastroenterology     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1519-26     Citation Subset:  AIM; IM    
Pediatric Gastroenterology, University of Kansas Medical Center, Kansas City, Kansas 66160, USA.
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MeSH Terms
Child, Preschool
Colic / diagnosis*,  therapy
Constipation / diagnosis*,  therapy
Diarrhea / diagnosis*,  therapy
Feeding and Eating Disorders of Childhood / diagnosis*,  therapy
Gastroesophageal Reflux / diagnosis*,  therapy
Infant, Newborn
Vomiting / diagnosis*,  therapy

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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