Cyclic vomiting syndrome is a prevalent and under-recognized condition in the gastroenterology outpatient clinic

作者: R. C. Sagar , R. Sood , D. J. Gracie , M. J. Gold , N. To

DOI: 10.1111/NMO.13174

关键词:

摘要: Background Cyclic vomiting syndrome (CVS) is a functional gastrointestinal disorder (FGID) characterized by intermittent episodes of nausea and vomiting. Our aim was to report its prevalence associated features. Methods Data concerning demographics, symptoms, psychiatric comorbidity were collected. Symptoms compatible with CVS classified as per Rome III criteria. We recorded whether diagnosis considered in patients after negative investigation. compared demographics association other FGIDs without CVS. Key Results 920 1002 provided data. Of the 920 patients, 112 (12.2%) had symptoms CVS. Thirteen (11.6%) these an organic cause for their but 99 (88.4%) deemed have (prevalence=10.8%). Organic causes included gastroparesis, large hiatus hernia, achalasia, small bowel obstruction. Only 39.4% asked about at initial consultation, only four (4.0%) patients. younger age, tobacco smoking, never having married, comorbidity, presence (P≤.01). Conclusions Inferences Prevalence this outpatient gastroenterology adult population 10.8%. Identified associations FGIDs. The condition possible <5% who met diagnostic

参考文章(47)
Taché Y, Cyclic vomiting syndrome: the corticotropin-releasing-factor hypothesis. Digestive Diseases and Sciences. ,vol. 44, ,(1999)
Ian B Hickie, Tracey A Davenport, Elizabeth M Scott, Dusan Hadzi‐Pavlovic, Sharon L Naismith, Annette Koschera, Unmet need for recognition of common mental disorders in Australian general practice. The Medical Journal of Australia. ,vol. 175, ,(2001) , 10.5694/J.1326-5377.2001.TB143785.X
Swapna Bondade, Vinay Basavaraju, Niharika Singh, Use of mirtazapine in functional vomiting. Australian and New Zealand Journal of Psychiatry. ,vol. 50, pp. 102- 103 ,(2016) , 10.1177/0004867415602334
T. Venkatesan, T. Prieto, A. Barboi, B. Li, A. Schroeder, W. Hogan, A. Ananthakrishnan, S. Jaradeh, Autonomic nerve function in adults with cyclic vomiting syndrome: a prospective study Neurogastroenterology and Motility. ,vol. 22, pp. 1303- ,(2010) , 10.1111/J.1365-2982.2010.01577.X
Hoyt Cs, Stickler Gb, A STUDY OF 44 CHILDREN WITH THE SYNDROME OF RECURRENT (CYCLIC) VOMITING Pediatrics. ,vol. 25, pp. 775- 780 ,(1960)
Chandra Prakash, Patrick J. Lustman, Kenneth E. Freedland, Ray E. Clouse, Tricyclic antidepressants for functional nausea and vomiting: clinical outcome in 37 patients Digestive Diseases and Sciences. ,vol. 43, pp. 1951- 1956 ,(1998) , 10.1023/A:1018878324327
R. A. Hejazi, R. W. McCallum, Review article: cyclic vomiting syndrome in adults ― rediscovering and redefining an old entity Alimentary Pharmacology & Therapeutics. ,vol. 34, pp. 263- 273 ,(2011) , 10.1111/J.1365-2036.2011.04721.X
David R Fleisher, Blake Gornowicz, Kathleen Adams, Richard Burch, Edward J Feldman, Cyclic Vomiting Syndrome in 41 adults: the illness, the patients, and problems of management BMC Medicine. ,vol. 3, pp. 20- 20 ,(2005) , 10.1186/1741-7015-3-20
Audra S. Rouster, Aryn C. Karpinski, David Silver, Javier Monagas, Paul E. Hyman, Functional Gastrointestinal Disorders Dominate Pediatric Gastroenterology Outpatient Practice. Journal of Pediatric Gastroenterology and Nutrition. ,vol. 62, pp. 847- 851 ,(2016) , 10.1097/MPG.0000000000001023
R. A. HEJAZI, T. H. LAVENBARG, P. FORAN, R. W. MCCALLUM, Who are the nonresponders to standard treatment with tricyclic antidepressant agents for cyclic vomiting syndrome in adults Alimentary Pharmacology & Therapeutics. ,vol. 31, pp. 295- 301 ,(2009) , 10.1111/J.1365-2036.2009.04165.X