Korean Journal of Pediatric Gastroenterology and Nutrition最新文献_第4页

Diagnostic Approaches to Chronic Abdominal Pain in Children 儿童慢性腹痛的诊断方法

Korean Journal of Pediatric Gastroenterology and Nutrition Pub Date : 2011-03-01 DOI: 10.5223/KJPGN.2011.14.1.26

J. Park

{"title":"Diagnostic Approaches to Chronic Abdominal Pain in Children","authors":"J. Park","doi":"10.5223/KJPGN.2011.14.1.26","DOIUrl":"https://doi.org/10.5223/KJPGN.2011.14.1.26","url":null,"abstract":"Chronic abdominal pain (CAP) is a common complaint encountered in pediatric clinics and a great concern for patients and their caretakers as well as health care professionals. A constant challenge is detecting individuals with organic diseases or psychosomatic disorders from the majority of patients who have a functional disorder including functional dyspepsia, irritable bowel syndrome, functional abdominal pain, and abdominal migraine. Beginning with a detailed history and physical examination, physicians must determine a differential diagnosis of CAP by applying the symptom-based Rome III criteria to positively identify a functional disorder. These findings should then be further analyzed based on diagnostic clues and red flags that indicate the presence of specific organic diseases and/or the need for further testing. Once a functional diagnosis has been made or an organic disease is suspected, physicians can initiate an empiric therapeutic trial. Since psychological distress accompanies both organic and non-organic abdominal pain in children, a cooperative diagnostic approach involving pediatricians and psychiatrists is recommended. (Korean J Pediatr Gastroenterol Nutr 2011; 14: 26∼32)","PeriodicalId":212346,"journal":{"name":"Korean Journal of Pediatric Gastroenterology and Nutrition","volume":"77 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124104568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Meconium Obstruction in Very Low Birth Weight Infants 极低出生体重儿的胎便梗阻

Korean Journal of Pediatric Gastroenterology and Nutrition Pub Date : 2011-03-01 DOI: 10.5223/KJPGN.2011.14.1.52

Ki Bae Hong, I. Seong, Kun-Song Lee, Y. Chang, H. Song

{"title":"Meconium Obstruction in Very Low Birth Weight Infants","authors":"Ki Bae Hong, I. Seong, Kun-Song Lee, Y. Chang, H. Song","doi":"10.5223/KJPGN.2011.14.1.52","DOIUrl":"https://doi.org/10.5223/KJPGN.2011.14.1.52","url":null,"abstract":"Purpose: Mecnoium obstruction in very low birth weight infants (VLBWI), which delays enteral feeding and is one of the major causes of bowel obstruction, can be diagnosed and treated with hyperosmolar water-soluble contrast enema. The purpose of this study was to observe the clinical findings of meconium obstruction, the improvement of small bowel obstruction after contrast enema, and the complications related to the enema. Methods: Hypersolmolar water-soluble contrast enemas were performed in 14 VLBWIs with meconium obstruction. Clinical findings, radiologic findings, feeding intolerance, effectiveness, and complications of enemas were observed. Also, clinical findings related to meconium obstruction were compared with 18 VLBWIs without meconium obstruction. Results: 1) Fourteen VLBWIs with meconium obstruction had significantly lower 5 minutes Apgar scores than 18 VLBWIs without meconium obstruction (p<0.05). Moreover, the day of last meconium passing, and the day of the first trial and full enteral feeding were delayed significantly. 2) A total of 18 enemas were performed in the 14 infants. The contrast medium passed the ileocecal valve and reached the terminal ileus in 12 enemas. Of the 12 enemas, 11 were successful, but 1 infant underwent an ileotomy, even though the contrast medium reached the terminal ileum. 3) Intestinal obstruction was not relieved in three of five infants, in whom the contrast medium failed to pass the ileocecal valve. Obstruction was relieved after repeated enemas in which the contrast medium reached the terminal ileum. 4) No complications associated with water-soluble contrast enemas were observed. Conclusion: Hyperosmolar water-soluble contrast enema is considered to be safe and therapeutic for meconium obstruction in VLBWIs. (Korean J Pediatr Gastroenterol Nutr 2011; 14: 52∼58)","PeriodicalId":212346,"journal":{"name":"Korean Journal of Pediatric Gastroenterology and Nutrition","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127936279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Acute Intermittent Porphyria Presented with Recurrent Abdominal Pain and Hypertension 急性间歇性卟啉症表现为反复腹痛和高血压

Korean Journal of Pediatric Gastroenterology and Nutrition Pub Date : 2011-03-01 DOI: 10.5223/KJPGN.2011.14.1.81

M. Park, J. Seo, J. Ko, J. Chang, H. Yang

引用次数: 2

Diagnostic Approach of Lower GI Bleeding in Children 儿童下消化道出血的诊断方法

Korean Journal of Pediatric Gastroenterology and Nutrition Pub Date : 2010-12-01 DOI: 10.5223/KJPGN.2010.13.SUPPL1.S51

S. Jeong

{"title":"Diagnostic Approach of Lower GI Bleeding in Children","authors":"S. Jeong","doi":"10.5223/KJPGN.2010.13.SUPPL1.S51","DOIUrl":"https://doi.org/10.5223/KJPGN.2010.13.SUPPL1.S51","url":null,"abstract":"Lower GI bleeding is one of the common and difficult problems in the practice of general pediatrics. Causes of bleeding are various but somewhat age-specific in children. A specific diagnosis can usually be made with a accurate history taking, physical examination, included rectal exam, simple laboratory investigations, and appropriate diagnostic studies. Further evaluations can be unnecessary if the patient have a small amount of bleeding and stable vital sign. But precise investigation included abdominal sonography, endoscopy, Meckel’s scan, and bleeding scan, are needed on a case by case. Treatment should be directed at the underlying cause. In most children, bleeding ceases spontaneously, and only supportive therapy is necessary. If there is evidence of hypovolemia, the patient must be hemodynamically stabilized, active bleeding stopped, and recurrent bleeding prevented. This review included age-specific cases such as Allergic proctocolitis, Meckel’s diverticulum, Juvenile polyps, Henoch-scholein purpura, and Crohn disease, of lower gastrointestinal bleeding in children. Also it will assist the physician in determining appropriate assessment and treatment for children with lower GI bleeding through the usual cases. [Korean J Pediatr Gastroenterol Nutr 2010; 13(Suppl 1): 51∼58]","PeriodicalId":212346,"journal":{"name":"Korean Journal of Pediatric Gastroenterology and Nutrition","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121666270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Current Nutritional Status of Korean Adolescents and Countermeasures 韩国青少年营养现状及对策

Korean Journal of Pediatric Gastroenterology and Nutrition Pub Date : 2010-12-01 DOI: 10.5223/KJPGN.2010.13.SUPPL1.S10

J. Moon

引用次数: 0

Review on Revised Nutrition Guidelines of the Korea National Health Screening Program for Infants and Children 韩国婴儿和儿童国家健康检查计划营养指南修订审查

Korean Journal of Pediatric Gastroenterology and Nutrition Pub Date : 2010-12-01 DOI: 10.5223/KJPGN.2010.13.SUPPL1.S1

Hye Won Yom

引用次数: 1

Recurrent Vomiting in Children 儿童反复呕吐

Korean Journal of Pediatric Gastroenterology and Nutrition Pub Date : 2010-12-01 DOI: 10.5223/KJPGN.2010.13.SUPPL1.S15

J. Shim

{"title":"Recurrent Vomiting in Children","authors":"J. Shim","doi":"10.5223/KJPGN.2010.13.SUPPL1.S15","DOIUrl":"https://doi.org/10.5223/KJPGN.2010.13.SUPPL1.S15","url":null,"abstract":"There are many causes of chronic and/or recurrent vomiting. The differential diagnosis is sometimes difficult because the clinical manifestations are often similar with each other. In this review, common causes of chronic and/or recurrent vomiting, and a general approach to children with vomiting are described. The involuntary passage of ingested material from the stomach into the esophagus, gastroesophageal reflux (GER), is a common event in infants. GER-disease can arise when the refluxed material causes esophagitis, resulting in pain, impaired esophageal function, poor growth or some respiratory symptoms. Esophageal impedance-pH meter will be the golden standard test in these cases. Parental reassurance and dietary manageme nt are expected to be the important components of managing mild GER-disease. Eosinophilic esophagitis is a clinicopathological disease characterized by (1) Feeding intolerance and GER-disease symptoms in children; (2) ＞15 eosinophils/HPF; (3) Exclusion of other disorders associated with similar clinical, histological, or endoscopic features, especially GERD. Appropriate treatments include dietary approaches based upon eliminating exposure to food allergens, or topical corticosteroids. Cyclic vomiting syndrome (CVS), a paroxysmal, especially severe, recurrent vomiting disorder, may be second to GER-disease as a cause of recurrent vomiting in children. It is highly incapacitating brain-gut disorder. The different diagnosis of CVS cuts a broad swath across neurologic, gastrointestinal, renal, metabolic, and endocrinologic disorders. Treatment is divided between acute intervention, when a patient is actively and severe vomiting, and prophylactic treatment in their interictal phase, the goal of which is reducing frequency and intensity of subsequent episodes. [Korean J Pediatr Gastroenterol Nutr 2010; 13(Suppl 1): 15∼24]","PeriodicalId":212346,"journal":{"name":"Korean Journal of Pediatric Gastroenterology and Nutrition","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122322527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Diagnosis of Food Allergy in a Pediatric Gastroenterology: Focusing on Non-IgE-mediated Allergic Diseases 儿童胃肠病学中食物过敏的诊断:关注非ige介导的过敏性疾病

Korean Journal of Pediatric Gastroenterology and Nutrition Pub Date : 2010-12-01 DOI: 10.5223/KJPGN.2010.13.SUPPL1.S32

Kun-Song Lee

{"title":"The Diagnosis of Food Allergy in a Pediatric Gastroenterology: Focusing on Non-IgE-mediated Allergic Diseases","authors":"Kun-Song Lee","doi":"10.5223/KJPGN.2010.13.SUPPL1.S32","DOIUrl":"https://doi.org/10.5223/KJPGN.2010.13.SUPPL1.S32","url":null,"abstract":"Food allergy is an adverse immune response to foods. The prevalence of food allergy vary by age, diet, and many other factors. Based on the immunological mechanism, food allergies may be classified in a IgE-mediated diseases, which are the best-characterized food allergy reactions, non-IgE-medicated diseases, and mixed type diseases. In children, the GI tract seems to be the most common target organ. Generally, IgE-mediated reactions have an acute onset, whereas non-IgE-mediated reactions have a late onset. The most food allergy with GI manifestation involve non-IgE-mediated reactions. The evaluation of a child with suspected food allergy includes medical history, physical examination, screening test and the response to elimination diet and to oral food challenge. The diagnosis of non-IgE-mediated food allergies using a screening test is difficult. In this review, investigate the diagnostic criteria and manifestations of several non-IgE-mediated allergic diseases and the diagnostic method in the field of a pediatric gastroenterology. [Korean J Pediatr Gastroenterol Nutr 2010; 13(Suppl 1): S32∼S43]","PeriodicalId":212346,"journal":{"name":"Korean Journal of Pediatric Gastroenterology and Nutrition","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127443354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Clinical Significance of Abdominal Fat Distribution in Korean Male Children and Adolescents 韩国男性儿童和青少年腹部脂肪分布的临床意义

Korean Journal of Pediatric Gastroenterology and Nutrition Pub Date : 2010-09-01 DOI: 10.5223/KJPGN.2010.13.2.172

Y. Lee, Kyung Mo Kim, S. Oh, H. Park, J. Myong

{"title":"Clinical Significance of Abdominal Fat Distribution in Korean Male Children and Adolescents","authors":"Y. Lee, Kyung Mo Kim, S. Oh, H. Park, J. Myong","doi":"10.5223/KJPGN.2010.13.2.172","DOIUrl":"https://doi.org/10.5223/KJPGN.2010.13.2.172","url":null,"abstract":"Purpose: Visceral adipose tissue may be strongly linked to increased metabolic risks in adults. However, because little is known regarding the effect of visceral adipose tissue in children and adolescents, we performed this study to determine the association between abdominal fat distribution and metabolic risk factors in this population. Methods: One hundred one children and adolescents (78 males and 23 females; mean age, 10.8±2.4 years) were enrolled. The anthropometric data and metabolic risk factors were evaluated. Theabdominal fat distribution was assessed according to the CT measurement. Age-adjusted, partial correlations were performed among the visceral adipose fat area (VFA), subcutaneous adiposefat area (SFA), metabolic risk factors, and anthropometrics. Results: The SFA increased more rapidly than the VFA with advancing years in both genders. In males, the VFA and SFA were positively correlated with anthropometrics. The VFA was correlated with low HDL-cholesterol and the SFA was correlated with diastolic blood pressure (DBP). However, there was no statistical significance between the VFA, SFA, anthropometrics, and other metabolic risk factors. The VFA and SFA were strongly linked to a number of metabolic risk factors, such as other anthropometrics. Conclusion: This study investigated how a low HDL-C was correlated with VFA and how a high DBP was associated with SFA in Korean male children and adolescents. Our results suggest that the correlation between the VFA, SFA, and metabolic risk factors was relatively weak compared to that reported in previous adult studies. (Korean J Pediatr Gastroenterol Nutr 2010; 13: 172∼179)","PeriodicalId":212346,"journal":{"name":"Korean Journal of Pediatric Gastroenterology and Nutrition","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122377952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Iron Deficiency Anemia and Vitamin D Deficiency in Breastfed Infants 母乳喂养婴儿缺铁性贫血和维生素D缺乏症

Korean Journal of Pediatric Gastroenterology and Nutrition Pub Date : 2010-09-01 DOI: 10.5223/KJPGN.2010.13.2.164

Eun Hye Choi, S. Jung, Y. Jun, Yoonpyo Lee, Ji-Yeon Park, J. You, K. Chang, S. Kim

{"title":"Iron Deficiency Anemia and Vitamin D Deficiency in Breastfed Infants","authors":"Eun Hye Choi, S. Jung, Y. Jun, Yoonpyo Lee, Ji-Yeon Park, J. You, K. Chang, S. Kim","doi":"10.5223/KJPGN.2010.13.2.164","DOIUrl":"https://doi.org/10.5223/KJPGN.2010.13.2.164","url":null,"abstract":"목 적: 철결핍성 빈혈(iron deficiency anemia, IDA)은 영양상태의 개선에도 불구하고 여전히 발견되는 영양질환이다. 저자들은 영유아기에 IDA가 발생할 수 있는 위험 인자에 대해 알아보았고, IDA 환아의 영양 분석을 통하여 철분 및 비타민 D 영양 결핍에 대하여 알아 보았다. 방 법: 2006년 3월부터 2010년 3월까지 저자들의 병원에 내원한 6~36개월의 IDA 환아 103명을 대상으로 하였고, IDA가 없는 같은 연령의 영유아 123명을 비교군으로 혈액검사와 설문 조사를 하였다. IDA가 진단된 6~12개월 환아 중 식이력 작성이 구체적인 11명에 대해서는 Canpro를 이용하여 영양 분석하였다. 결 과: IDA군에서 모유수유 87.4%, 비교군에서는 모유수유 40.7%였다. 이유 시작 시기는 IDA군은 평균 6.4 ${pm}$ 1.8개월이었고 비교군은 평균 5.9 ${pm}$ 1.3개월이었다. 이유식을 잘 먹게 된 시기는 IDA군에서 4주 이내는 46.4%, 비교군에서 4주 이내는 53.5%였다. IDA군의 병원 방문 이유는 호흡기 질환이 36.2%로 가장 많았고, 빈혈 증상으로 방문한 경우는 18.6%였다. IDA 환아 11명의 Canpro 분석에서 철분은 권장섭취량의 40% 미만이었고, 비타민 D 섭취는 30% 미만이었다. 결 론: 모유수유를 하는 영아는 4~6개월에 이유식을 시작해야 한다. 위험 인자가 있는 영아에서 철결핍 빈혈과 비타민 D 결핍이 있을 수 있으므로, 선별검사와 비타민 D 영양 평가가 필요하다. 또한 철분강화 분유, 비타민 D 강화 분유나 이유식을 통한 영양 공급이 필요하다. 【Purpose: Iron deficiency anemia (IDA) is one of the most common nutritional problems, despite a recent improvement of nutritional status of infants and children. We assessed the risk factors for IDA in infants and vitamin D deficiency and IDA by nutrition analysis. Methods: We analyzed blood tests and evaluated 103 children with IDA and 123 children without IDA, 6-36 months of age, who were cared for in our hospital between March 2006 and July 2010. Nutritional analysis using Canpro was performed among breastfed infants 6~12 months of age who had been diagnosed with IDA and had detailed diet histories. Results: Breastfed infants accounted for 87.4% and 40.7% of the IDA and comparison groups, respectively. The IDA and comparison groups began weaning food at 6.4 ${pm}$ 1.8 and 5.9 ${pm}$ 1.3 months, respectively. In the IDA and comparison groups, 46.4% and 53.5% began to adapt to weaning food within 4 weeks, respectively. The most common reason for hospital care of the IDA group was respiratory symptoms constituting 36.2%. Only 18.6% visited the hospital for palloror anemia. The Canpro analysis, performed on 11 infants with IDA, showed that iron and vitamin D were】","PeriodicalId":212346,"journal":{"name":"Korean Journal of Pediatric Gastroenterology and Nutrition","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127176544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 7