Functional Gastrointestinal Disorders in Children

摘要: OBJECTIVES Childhood functional gastrointestinal disorders (FGIDs) are common conditions associated with significant morbidity and high healthcare costs. This multicenter study aimed at assessing the clinical approach to infants (0-6 months) children/adolescents (4-18 years) suspected FGIDs by pediatricians from Mediterranean Area. METHODS A survey evaluating diagnostic approach, including use of Rome II III criteria, therapeutic management some most prevalent FGIDs, such as irritable bowel syndrome (IBS), constipation (FC), regurgitation (FR), was distributed a sample pediatricians. RESULTS We collected 278 questionnaires 9 countries (Croatia, Greece, Israel, Italy, Lebanon, Montenegro, Serbia, Slovenia, Spain). criteria used diagnose FC 28.8%. Treatment is based on dietary modifications (97.5%) osmotic laxatives (93.5%). FR 22.3% responders, in contrast 79.5% who rely personal experience for diagnosis. Reported treatments mainly consist reassurance (96.8%) thickened feedings (77.3%). Nevertheless, 21.2% prescribe proton pump inhibitors or H2-blockers FR. IBS only 25.9%. Moreover, 86% base therapy predominant symptom. The prescribed analgesics (36.6%) pain control, advice (41.5%) diarrhea-predominant IBS, (47.8%) constipation-predominant IBS. CONCLUSIONS Our data show that not sufficiently widespread among pediatricians, large variability remains within different surveyed.