| Functional gastrointestinal disorders in children: an Italian prospective survey. | |
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MedLine Citation:
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PMID: 15231910 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Erasmo Miele; Domenico Simeone; Antonio Marino; Luigi Greco; Renata Auricchio; Steven J Novek; Annamaria Staiano |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Pediatrics Volume: 114 ISSN: 1098-4275 ISO Abbreviation: Pediatrics Publication Date: 2004 Jul |
Date Detail:
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Created Date: 2004-07-02 Completed Date: 2004-09-30 Revised Date: 2005-08-11 |
Medline Journal Info:
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Nlm Unique ID: 0376422 Medline TA: Pediatrics Country: United States |
Other Details:
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Languages: eng Pagination: 73-8 Citation Subset: AIM; IM |
Affiliation:
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Department of Pediatrics, University Federico II, Naples, Italy. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Abdominal Pain
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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:
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Pediatrics. 2005 Apr;115(4):1110-1; author reply 1111
[PMID:
15805405
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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