keyword
https://read.qxmd.com/read/38649896/the-ten-hard-questions-in-pediatric-functional-constipation
#1
REVIEW
Flora Fedele, Maria Teresa Fioretti, Elena Scarpato, Massimo Martinelli, Caterina Strisciuglio, Erasmo Miele
Functional constipation is a common problem in childhood and has a great impact on social, physical, and emotional functioning of affected children and their caregivers. No organic cause of the constipation can be found in approximately 95% of children, defining the "so-called" chronic functional constipation. Its prevalence has been reported to range from 0.7 to 29.6%, with a median of 12%. The diagnosis of functional constipation is exclusively clinical based on the pediatric diagnostic Rome criteria for functional gastrointestinal disorders and does not routinely require laboratory and/or radiological investigations...
April 8, 2024: Italian Journal of Pediatrics
https://read.qxmd.com/read/38649257/gastrointestinal-effects-of-caffeine-in-preterm-infants-a-systematic-review-and-bayesian-meta-analysis
#2
JOURNAL ARTICLE
Beatriz Gama, Madalena von Hafe, Rafael Vieira, Henrique Soares, Inês Azevedo, Gustavo Rocha
OBJECTIVE: Caffeine is widely used in preterm infants to prevent or treat apnoea of prematurity. Adverse gastrointestinal effects of caffeine have not been thoroughly researched in preterm infants. With this systematic review and meta-analysis, we aim to summarise the results of trials on the gastrointestinal effects of caffeine in preterm infants. DESIGN: We searched MEDLINE, Web of Science, Scopus and ClinicalTrials.gov up to 21 April 2023. We included randomised controlled trials assessing caffeine versus placebo in preterm neonates and reporting gastrointestinal side effects...
April 22, 2024: Archives of Disease in Childhood. Fetal and Neonatal Edition
https://read.qxmd.com/read/38592719/diagnostic-delay-of-celiac-disease-in-childhood
#3
MULTICENTER STUDY
Paola Ilaria Bianchi, Marco Vincenzo Lenti, Clarissa Petrucci, Giulia Gambini, Nicola Aronico, Matteo Varallo, Carlo Maria Rossi, Elena Pozzi, Elena Groppali, Francesca Siccardo, Giulia Franchino, Gian Vincenzo Zuccotti, Grazia Di Leo, Chiara Zanchi, Fernanda Cristofori, Ruggiero Francavilla, Marina Aloi, Giulia Gagliostro, Monica Montuori, Sara Romaggioli, Caterina Strisciuglio, Marco Crocco, Noemi Zampatti, Angela Calvi, Renata Auricchio, Costantino De Giacomo, Silvia Maria Elena Caimmi, Carolina Carraro, Annamaria Staiano, Sabrina Cenni, Mauro Congia, Enrico Schirru, Francesca Ferretti, Carolina Ciacci, Nicoletta Vecchione, Mario Andrea Latorre, Semela Resuli, Giusy Cinzia Moltisanti, Giulia Maria Abruzzese, Andrea Quadrelli, Simone Saglio, Pietro Canu, Damiano Ruggeri, Annalisa De Silvestri, Catherine Klersy, Gian Luigi Marseglia, Gino Roberto Corazza, Antonio Di Sabatino
IMPORTANCE: The extent and factors associated with risk of diagnostic delay in pediatric celiac disease (CD) are poorly understood. OBJECTIVES: To investigate the diagnostic delay of CD in childhood, and to assess factors associated with this delay. DESIGN, SETTING, AND PARTICIPANTS: Multicenter, retrospective, cross-sectional study (2010-2019) of pediatric (aged 0-18 years) patients with CD from 13 pediatric tertiary referral centers in Italy...
April 1, 2024: JAMA Network Open
https://read.qxmd.com/read/38523379/evaluation-of-functional-gastrointestinal-disorders-in-children-aged-4-10-years-with-autism-spectrum-disorder
#4
JOURNAL ARTICLE
Özlem Gülpınar Aydın, Hüseyin Burak Baykara, Kardelen Akın, Sinem Kahveci, Gül Şeker, Yunus Güler, Yeşim Öztürk
BACKGROUND: Gastrointestinal system disorders are known to be prevalent among children with autism spectrum disorder (ASD). Some ASD-associated comorbidities are abdominal pain, constipation, diarrhea, gastroesophageal reflux, sleep disturbances, epilepsy, and psychiatric problems. Nonetheless, there is still limited information about the presence of functional GI disorders (FGIDs) among children with ASD, especially in Türkiye. Using the Rome criteria, we aimed to investigate FGIDs in children with ASD...
2024: Turkish Journal of Pediatrics
https://read.qxmd.com/read/38465761/pediatric-psoriasis-associated-with-van-wyk-grumbach-syndrome-a-case-report
#5
JOURNAL ARTICLE
Asma Marzouk, Rania Mezzi, Saida Zelfani, Nour Jelaila, Saad Ayeb, Asma Bouaziz
INTRODUCTION: Psoriasis is a common chronic inflammatory condition, often beginning in childhood in approximately one-third of cases. It can be associated with various other autoimmune diseases such as rheumatoid arthritis, celiac disease, and thyroid disorders. However, its co-occurrence with Van Wyk Grumbach syndrome has not been described in the pediatric population. This syndrome, resulting from untreated hypothyroidism, is characterized by early puberty and ovarian cysts. OBSERVATION: A 15-year-old adolescent with a diagnosis of psoriasis since the age of 9 presented with chronic constipation and headaches...
October 5, 2023: La Tunisie Médicale
https://read.qxmd.com/read/38454312/radiopaque-marker-colonic-transit-study-in-the-pediatric-population-bspghan-motility-working-group-consensus-statement
#6
JOURNAL ARTICLE
M Papadopoulos, M Mutalib, K Nikaki, E Volonaki, A Rybak, N Thapar, K Lindley, O Borrelli, A Das, D Crespi, S Cleeve, E Athanasakos
Functional constipation (FC) is a common condition in childhood in the United Kingdom and worldwide. Various radiological approaches have been established for diagnostic purposes. The radiopaque marker study (ROMS) is universally accepted and used to assess colonic transit time (CTT) in children with FC. Despite being widely used, there is a lack of standardization with various technical protocols, reproducibility of different populations, the purpose for using investigation, variance in the number of markers used, the amount of study days and calculations, the need to empty the colon before performing the test, and whether to perform on medication or off, or the use of specific diets...
March 7, 2024: Neurogastroenterology and Motility: the Official Journal of the European Gastrointestinal Motility Society
https://read.qxmd.com/read/38404691/severe-osteoporosis-with-pathogenic-lrp5-variant
#7
Felicity Stringer, Natalie A Sims, Nirupa Sachithanandan, Jasna Aleksova
A 24-year-old female patient was diagnosed with osteoporosis after presenting with numerous fractures throughout her childhood and adolescence. Risk factors included chronic constipation, severe vitamin D deficiency, and long-term high-dose steroid use for severe eczema. Metabolic bone disorder clinical exome screening (limited panel of metabolic bone disorders and gastrointestinal disorders) was undertaken and revealed a class 4 likely pathogenic variant in the LRP5 gene known to cause osteoporosis. Optimal treatment for patients with this variant is not well defined...
March 2024: JCEM Case Rep
https://read.qxmd.com/read/38383134/changing-contexts-of-child-health-an-assessment-of-unmet-physical-psychological-and-social-needs-of-children-with-common-chronic-childhood-illness
#8
JOURNAL ARTICLE
Raghu Lingam, Nan Hu, Elizabeth Cecil, Julia Forman, James Newham, Rose-Marie Satherley, Marina Soley Bori, Simon Cousens, Julia Fox-Rushby, Ingrid Wolfe
BACKGROUND: We assessed the biopsychosocial needs and key health drivers among children living with a common chronic illness, as baseline for a cluster randomised controlled trial of a child health system strengthening intervention. METHODS: Cross-sectional data were analysed from a large population sample of children from South London with asthma, eczema or constipation, as exemplar tracer conditions of a new integrated care service. Descriptive and regression analyses, accounting for sociodemographic factors, investigated social needs, psychosocial outcomes and quality of life associated with poor symptom control...
February 21, 2024: Archives of Disease in Childhood
https://read.qxmd.com/read/38343084/strategies-used-for-childhood-chronic-functional-constipation-the-success-evidence-synthesis
#9
Alex Todhunter-Brown, Lorna Booth, Pauline Campbell, Brenda Cheer, Julie Cowie, Andrew Elders, Suzanne Hagen, Karen Jankulak, Helen Mason, Clare Millington, Margaret Ogden, Charlotte Paterson, Davina Richardson, Debs Smith, Jonathan Sutcliffe, Katie Thomson, Claire Torrens, Doreen McClurg
BACKGROUND: Up to 30% of children have constipation at some stage in their life. Although often short-lived, in one-third of children it progresses to chronic functional constipation, potentially with overflow incontinence. Optimal management strategies remain unclear. OBJECTIVE: To determine the most effective interventions, and combinations and sequences of interventions, for childhood chronic functional constipation, and understand how they can best be implemented...
January 2024: Health Technology Assessment: HTA
https://read.qxmd.com/read/38341636/functional-gastrointestinal-disorders-in-children-a-single-centre-experience
#10
JOURNAL ARTICLE
Amela Selimović, Nina Mekić, Selma Terzić, Almira Ćosićkić, Evlijana Zulić, Majda Mehmedović
Functional gastrointestinal disorders in childhood (FGIDs) constitute a significant time-consuming clinical problem for healthcare practitioners, and they carry an important psychosocial burden for patients and their families. The aim of this study was to characterize etiology, clinical features, and interventions in a paediatric cohort of patients with FGIDs, who were referred to a tertiary care university-affiliated centre. Methods A retrospective study of children aged 1-15 years old referred to the Clinic for Children's Diseases, University Clinical Center Tuzla, from January 2022 to December 2022, who fulfilled criteria for FGIDs (n=209), were divided in three groups: 0-3, 4-10 and 11-15 years old...
February 1, 2024: Medicinski Glasnik
https://read.qxmd.com/read/38322060/waugh-s-syndrome-in-an-adult-patient-a-case-report-and-a-review-of-the-literature
#11
Khaled Afasha, Nada Alabdulwahid, Atif Dawood
Waugh's syndrome is a rare disease that typically presents as acute-onset intussusception caused by gut malrotation. This disease, while generally reported during infancy or childhood, can also affect adults. This case report describes the rare case of Waugh's syndrome in an adult with cystic fibrosis. The patient, a 19-year-old male, was admitted one week after the onset of pain and distention in the abdomen, with vomiting alternating with constipation. He had visited emergency rooms in the past and was taking symptomatic treatment, but on arrival at our facility, he developed a tonic-colonic convulsion...
January 2024: Curēus
https://read.qxmd.com/read/38320814/are-peripheral-acting-mu-opioid-receptor-antagonists-effective-in-treating-children-with-opioid-induced-constipation
#12
JOURNAL ARTICLE
James Parry-Reece
No abstract text is available yet for this article.
February 6, 2024: Archives of Disease in Childhood
https://read.qxmd.com/read/38249647/constipation-a-pristine-universal-pediatric-health-delinquent
#13
REVIEW
Kona Chowdhury, Susmita Sinha, Santosh Kumar, Mainul Haque, Rahnuma Ahmad
Constipation suffered by children is a global public health problem. Functional constipation (FC) brings about deteriorating effects in the children's lives who suffer from it. The risk factors for the development of constipation include the consumption of a diet low in fiber and high in calories (such as the consumption of fast food), a sedentary lifestyle with a lack of exercise, a family history of constipation, and emotional and psychological stress endured by children in their families. It is one of the most common causes of stomachaches in children...
January 2024: Curēus
https://read.qxmd.com/read/38222998/parents-knowledge-attitude-and-practice-related-to-childhood-constipation-in-makkah-saudi-arabia
#14
JOURNAL ARTICLE
Albraa J Khayyat, Refal T Abumansour, Moath A Khayat, Nada O Almalayo, Raghad E Saleh, Doaa S Baashar, Musaad M Almhmadi, Rayan O Almalki, Mohammed Ageel
Introduction Functional constipation in children is described as irregular or difficult bowel motions without underlying systemic or anatomical causes. Although constipation can have a serious negative impact on a child's health and the lives of their parents. This study aimed to assess the knowledge of parents about childhood constipation, intending to reduce morbidity and mortality through increased public health education in Makkah, Saudi Arabia. Methods The current study was a web-based, descriptive cross-sectional study...
January 2024: Curēus
https://read.qxmd.com/read/38195357/functional-outcomes-of-patients-who-underwent-anorectal-malformation-repair-using-mri-guidance
#15
JOURNAL ARTICLE
Danielle Dougherty, Matthew W Ralls, Connor J Plagens, Maria Ladino-Torres, Keyonna M Williams, Laurie Wild, Marcus D Jarboe
BACKGROUND: Despite the initiation of minimally invasive laparoscopic techniques, the majority of patients who undergo anorectal malformation repair still experience functional bowel issues in childhood, including constipation and fecal incontinence. In this study, we evaluate the functional outcomes of a procedure in which magnetic resonance imaging guidance is used during initial laparoscopic repair to better locate the epicenter of the sphincter muscle complex and pelvic floor with the goal of more accurate placement of the neoanus and improved functional outcomes...
January 1, 2024: Journal of Pediatric Surgery
https://read.qxmd.com/read/38142220/development-and-survey-of-a-questionnaire-to-measure-parental-perceptions-of-childhood-defecation-and-constipation
#16
JOURNAL ARTICLE
Termpong Dumrisilp, Chutima Tanwarawutthikul
BACKGROUND: There are insufficient data and measuring tools for parental perception of defecation and constipation in Thai children. The primary objective of this study was to develop a tool to measure parental perceptions towards defecation and constipation in children. The secondary objective was to identify parental understanding and misconceptions about these issues. METHODS: The authors developed a questionnaire in three domains: knowledge, attitude, and practice...
December 12, 2023: Pediatrics and Neonatology
https://read.qxmd.com/read/38098935/managing-recurrent-teratoma-in-currarino-syndrome
#17
Yat Cheung Chung, Suellyn Centauri, Thang Chien Nguyen
To the best of our knowledge, this is the first reported case of a recurrent presacral tumor in Currarino syndrome. Currarino syndrome is a rare disease usually found in childhood with a triad of sacral agenesis, anorectal malformation, and presacral tumor. However, it can often remain undiscovered until adulthood. Currarino syndrome is generally diagnosed during childhood in the setting of recurrent meningitis and is often suspected when there is a family history. Occasionally, it is diagnosed in adulthood through incidental imaging or due to investigations for back pain and chronic constipation...
November 2023: Curēus
https://read.qxmd.com/read/38088012/myotonic-dystrophy-type-1-steinert-disease-29-years-of-experience-at-a-tertiary-pediatric-hospital
#18
JOURNAL ARTICLE
Inês Cascais, Cristina Garrido, Lurdes Morais, Rosa Amorim, Rosa Lima, Helena Ferreira Mansilha, Teresa Correia, António Oliveira, Manuela Santos
BACKGROUND: Myotonic dystrophy type 1 (DM1) is a multisystemic disorder caused by the expansion of a noncoding triplet repeat. METHODS: A cross-sectional study was performed to characterize pediatric patients with DM1 followed in a tertiary hospital over the last 29 years, comparing the congenital and the childhood/juvenile-onset forms. RESULTS: Thirty-seven patients (59.5 % male) were included, with a median age at the latest assessment of 16...
December 6, 2023: European Journal of Paediatric Neurology: EJPN
https://read.qxmd.com/read/38060105/intestinal-symptoms-among-children-aged-2-7-years-with-autism-spectrum-disorder-in-13-cities-of-china
#19
JOURNAL ARTICLE
Ting Yang, Qian Zhang, Li Chen, Ying Dai, Fei-Yong Jia, Yan Hao, Ling Li, Jie Zhang, Li-Jie Wu, Xiao-Yan Ke, Ming-Ji Yi, Qi Hong, Jin-Jin Chen, Shuan-Feng Fang, Yi-Chao Wang, Qi Wang, Chun-Hua Jin, Jie Chen, Ting-Yu Li
BACKGROUND: Autism spectrum disorder (ASD) is a multifactorial, pervasive, neurodevelopmental disorder, of which intestinal symptoms collectively represent one of the most common comorbidities. METHODS: In this study, 1,222 children with ASD and 1,206 typically developing (TD) children aged 2-7 years were enrolled from 13 cities in China. Physical measurement and basic information questionnaires were conducted in ASD and TD children. The Childhood Autism Rating Scale (CARS), Social Responsiveness Scale (SRS), and Autism Behavior Checklist (ABC) were used to evaluate the clinical symptoms of children with ASD...
December 7, 2023: Journal of Autism and Developmental Disorders
https://read.qxmd.com/read/38045990/adult-phenotype-of-syngap1-dee
#20
JOURNAL ARTICLE
Marlene Rong, Tim Benke, Quratulain Zulfiqar Ali, Ángel Aledo-Serrano, Allan Bayat, Alessandra Rossi, Orrin Devinsky, Farah Qaiser, Anum S Ali, Alfonso Fasano, Anne S Bassett, Danielle M Andrade
BACKGROUND AND OBJECTIVES: SYNGAP1 variants are associated with rare developmental and epileptic encephalopathies (DEEs). Although SYNGAP1 -related childhood phenotypes are well characterized, the adult phenotype remains ill-defined. We sought to investigate phenotypes and outcomes in adults with SYNGAP1 variants and epilepsy. METHODS: Patients 18 years or older with DEE carrying likely pathogenic and pathogenic (LP/P) SYNGAP1 variants were recruited through physicians' practices and patient organization groups...
December 2023: Neurology. Genetics
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