Fecal Incontinence in Children
Functional nonretentive fecal incontinence Functional constipation Must fulfill all of the following for ≥2 months prior to diagnosis 1. Defecation into places inappropriate to the social context at least once…
GASTROENTEROLOGY
Rumination Syndrome
Vomiting Esophagitis Prokinetics Fundoplication Rumination During or minutes after meal No Not helpful Not helpful Achalasia Hours after meal Often (from stasis) Not helpful Contraindicated GERD After large meals…
Infant Colic
For Clinical purposes must include all of the following 1. An infant who is less than 5 months of age when the symptoms start and stop 2. Recurrent and prolonged periods of…
Anorectal Malformations
Major clinical groups Rare regional variants Perineal (cutaneous) fistula Pouch colon Rectourethral fistula Rectal atresia/stenosis (a) Bulbar Rectovaginal fistula (b) Prostatic H fistula Rectovesical fistula Others Vestibular fistula Cloaca No…
Functional Abdominal Pain
Symptoms Involuntary weight loss Vomiting especially bile or blood GI blood loss Unexplained fever Persistent right upper or lower quadrant pain Delayed puberty Family history of IBD Dysuria, hematuria, or…
Esophageal Achalasia
Fig. 21.1 Type I esophageal achalasia (IRP 33 mmHg) Fig. 21.2 Type II esophageal achalasia (IRP 43 mmHg) Fig. 21.3 Type III esophageal achalasia (IRP 55 mmHg, distal latency 3.9…
Complementary and Alternative Treatments for Motility and Sensory Disorders
© Springer International Publishing Switzerland 2017Christophe Faure, Nikhil Thapar and Carlo Di Lorenzo (eds.)Pediatric Neurogastroenterology10.1007/978-3-319-43268-7_48 48. Complementary and Alternative Treatments for Motility and Sensory Disorders Arine M. Vlieger1 and Marc A. Benninga2 (1) Department of Pediatrics, St. Antonius Hospital, Utrecht,…
Development of the Enteric Neuromuscular System
Fig. 2.1 Development of enteric nervous system, smooth muscle and interstitial cells of Cajal within the developing human gut. (a) At week 11 of development, αSMA-staining (green) is apparent in…
Cyclic Vomiting Syndrome: Comorbidities and Treatment
Functional dyspepsia Functional nausea (pediatric Rome IV criteria) Functional vomiting Cyclic vomiting syndrome Rumination syndrome Aerophagia Definition Earlier clinical diagnosis has been facilitated by the recently defined consensus diagnostic criteria…
Irritable Bowel Syndrome
Rome IV. Diagnostic criteria a for irritable bowel syndrome Must include all of the following 1. Abdominal pain at least 4 days per month over at least 2 months associated with…
