Document Detail


Functional gastrointestinal disorders in children: an Italian prospective survey.
MedLine Citation:
PMID:  15231910     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To assess the prevalence and natural history of functional gastrointestinal disorders (FGIDs) in children using the Rome Criteria. METHODS: Thirteen primary care pediatricians were randomly selected from the Campania region of the Italian National Health Service. Each pediatrician completed a detailed FGID questionnaire on consecutive patients seen during a 3-month period. A total of 9660 patients aged birth to 12 years were enrolled prospectively during this 3-month period. Follow-up was performed at 1-, 3-, and 12-month intervals. RESULTS: A total of 194 children initially met strict criteria for at least 1 FGID. A total of 72 (37.1%) children had infant regurgitation, 26 (13.4%) had functional dyspepsia, 27 (13.9%) had irritable bowel syndrome, and 66 (34.1%) had functional constipation or other defecation disorders. All children who had a diagnosis of FGIDs were reevaluated at 1, 3, and 12 months to study the natural history of the illnesses. Additional evaluation revealed 5 children who had developed an organic diagnosis. Therefore, 5 (2.5%) of 194 children who had a diagnosis of FGIDs by the Rome criteria had a change in diagnosis to an organic disease during the study period, none of whom experienced permanent sequelae. CONCLUSIONS: Of 194 children who received a prospective diagnosis of FGIDs using the Rome criteria, 97.5% continued to satisfy the diagnostic criteria or were improved at follow-up. The low prevalence of functional dyspepsia and irritable bowel syndrome in our population is most likely explained by the lack of adolescents in our sample.
Authors:
Erasmo Miele; Domenico Simeone; Antonio Marino; Luigi Greco; Renata Auricchio; Steven J Novek; Annamaria Staiano
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Pediatrics     Volume:  114     ISSN:  1098-4275     ISO Abbreviation:  Pediatrics     Publication Date:  2004 Jul 
Date Detail:
Created Date:  2004-07-02     Completed Date:  2004-09-30     Revised Date:  2005-08-11    
Medline Journal Info:
Nlm Unique ID:  0376422     Medline TA:  Pediatrics     Country:  United States    
Other Details:
Languages:  eng     Pagination:  73-8     Citation Subset:  AIM; IM    
Affiliation:
Department of Pediatrics, University Federico II, Naples, Italy.
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MeSH Terms
Descriptor/Qualifier:
Abdominal Pain / epidemiology
Child
Child, Preschool
Constipation / epidemiology*
Diarrhea / epidemiology
Dyspepsia / epidemiology*
Fecal Impaction / epidemiology
Female
Humans
Infant
Infant, Newborn
Irritable Bowel Syndrome / epidemiology*
Italy / epidemiology
Male
Prevalence
Prospective Studies
Questionnaires
Vomiting / epidemiology*
Comments/Corrections
Comment In:
Pediatrics. 2005 Apr;115(4):1110-1; author reply 1111   [PMID:  15805405 ]

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


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