[Irritable bowel syndrome]
[Irritable bowel syndrome]
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[肠易激综合症]
DOI：
10.2223/jped.149
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发表时间：
2000
影响因子：
3.3
通讯作者：
Sheila Nogueira PÚrcope Rodrigues Guerra
中科院分区：
文献类型：
--
作者：
Sheila Nogueira PÚrcope Rodrigues Guerra
目的：回顾其病理生理机制，以解释其临床表现和治疗方法。方法：检索最近的综述文章，个人档案和Medline的参考文献。结果：儿童肠易激综合征或慢性非特异性腹泻是儿科胃肠病学就诊的常见原因。这是一种良性疾病，随着年龄的增长而消失，但可能会引起父母的极度担忧。病理生理学尚不清楚，也没有实验室证实。因此，它经常被错误地诊断，尽管它有适当的临床表现（如果没有饮食或药物操作）。饮食建议通常是有效的，并基于病理生理数据。药物的使用仍在讨论中。结论：在6个月至5岁之间，无营养不良体征，伴有腹泻的无症状儿童必须始终考虑肠易激综合征。药物不是必需的，它们的作用尚不清楚。基于病理生理学的食物操作就足够了。
OBJECTIVE: To review the pathophysiology in order to explain the clinical manifestation and treatment of this syndrome, which has not been completely explained yet. METHODS: References were searched on recent review articles, personal files, and Medline. RESULTS: Irritable bowel syndrome in children or chronic nonspecific diarrhea is a very frequent reason for pediatric gastroenterology visits. It is a benign disease and disappears with age, but may cause extreme worry to parents. The pathophysiology is still unclear, and there is not laboratory corroboration. Thus, it is frequently diagnosed incorrectly, although it has proper clinical manifestation (if there is no diet or medicine manipulation). Dietary advice is usually efficient, and is based on pathophysiologic data. The use of drug is still discussed. CONCLUSIONS: Irritable bowel syndrome must be always considered in oligosymptomatic children without signs of malnutrition, with diarrhea, between 6 months and 5 years of age. Drugs are not necessary, and their action is still unclear. Food manipulation based on pathophysiology is enough.
过量液体摄入是幼儿慢性腹泻的一个原因。
DOI：
10.1016/s0022-3476(83)80008-0
发表时间：
1983
期刊：
The Journal of pediatrics
影响因子：
--
作者：
Greene,HL;Ghishan,FK
通讯作者：
Ghishan,FK