A MODERN VIEW ON FUNCTIONAL INTESTINAL DISORDERS IN CHILDREN: ANALYSIS OF PEDIATRIC ROME IV CRITERIA
DOI:
https://doi.org/10.11603/1811-2471.2021.v.i3.12315Keywords:
functional gastrointestinal disorders, FGIDs, intestine, Rome IV criteria, childrenAbstract
The urgency of the problem of functional gastrointestinal disorders (FGIDs) is beyond doubt, as most of pathological conditions that occur in children have a functional etiology.
The aim – to analyze the Rome IV criteria and form a modern diagnostic algorithm of the functional bowel disorders for children at the stage of primary care.
Material and Methods. The prospective and retrospective data collection, synthesis, data discussion, and peer-review and analytical methods from the international medical electronic databases concerning the Roman criteria IV were accomplished in the work.
Results. The cause of FGIDs is not biochemical or morphological disorders of the digestive system, but mainly temporary disorders of the functioning of some organs in the digestive system. In 2016, the Rome IV Criteria were published, according to which for children there were update FGIDs criteria based on symptoms. According to revised review for newborns and young children, the "rule of three" for colic diagnosing was abolished, in children with functional constipation, a distinction was made between children who have the skills of "neatness" (toilet trained) and those who have not. For children and adolescents, two new FGIDs have been described – functional nausea and functional vomiting, and it has been noted that pain should not be the main complaint in the functional dyspepsia diagnosis.
Conclusions. The analysis of the Rome IV criteria provides to correctly interpret data of child’s examination and make a plan for a pediatric patient of medical treatment and observation to improve the quality of patient life.
References
Benninga, M.A., Faure, C. & Nurko, S. (2016). Childhood Functional Gastrointestinal Disorders: Neonate/Toddler Gastroenterology. 150, 1443-1455. https://doi.org/10.1053/j.gastro.2016.02.016
Drossman, D.A. & Haster, W.L. (2016). Rome IV-Functional GI disorders: disorders of gut-brin interaction. Gastroenterology, 150(6), 1257-1261. https://doi.org/ 10.1053/j.gastro.2016.03.035
Drossman, D.A. (2016). Functional gastrointestinal disorders: history, pathophysiology, clinical features and Rome IV. Gastroenterology, 150. 1262-1279. https://doi.org/10.1053/j.gastro.2016.02.032
Tack, J. & Drossman, D.A. (2017). What’s new in Rome IV? Neurogastroenterol. Motil, Sep; 29(9). https://doi.org/10.1111/nmo.13053
Zakharova, I.N., Sugyan, N.G., & Berezhnaya, I.V. (2018). Funktsionalnyie gastrointestinalnyie rasstroystva u detei ranniego vozrasta: kriterii diagnostiki i podhody k dietoterapii [Functional gastrointestinal disorders in the infants: diagnostics criteria and approaches to the dietary therapy]. Rossiyskiy Vestnik Perinatologii i Pediatrii –Russian Bulletin of Perinatology and Pediatrics, 63(1), 113-121. [In Russian] https://doi.org/10.21508/1027-4065-2018-63-1-113-121
Iacono, G., Merolla, R. & Carroccio, A. (2005). Paediatric Study Group on Gastrointestinal Symptoms in Infancy. Gastrointestinal symptoms in infancy: a population-based prospective study. Dig. Liver Dis., 37(6), 432-438 https://doi.org/10.1016/j.dld.2005.01.009
Dubrovskaya, M.I. & Griaznova, E.I. (2019). Funksionalnye narusheniya jeludochno-kishechnogo trakta v diade mat – ditya [Functional disorders of the gastrointestinal tract in young children as a mirror of disorders in relationships in the mother-child dyad]. Lechashchiy vrach – Attending Doctor, 6, 19-23 [in Russian]. https://doi.org/10.26295/OS.2019.54.11.004
Belousova, O.Yu. & Kazarian, L.V. (2020). Funktsionalni hatsrointestynalni rozlady v ditei rannioho viku: likuvaty, sposterihaty chy korehuvaty [Functional gastrointestinal disorders in young children: treat, observe or correct?]. Zdorovye rebenka –Health of a Child, 15 (1), 24-29. [in Ukrainian]. http://dx.doi.org/10.22141/2224-0551.15.1.2020.196754
Yesipova, S.I., Dmytryshyn, B.Ya. & Dmytryshyn, O.A. (2018). Pediatrichni kriteriyi Rimu IV: zmini ta porivnyannya z Rimskimi kriteriyami III. Semejnaya medycyna – Family Medicine, 1(75), 20-23 [in Russian].
Hyman, P.E., Milla, P.J. & Taminiau, J. (2006). Childhood functional gastrointestinal disorders: neonate/toddler. Gastroenterology, 130, 1519-1526. https://doi.org/ 10.1053/j.gastro.2005.11.065
Koppen, I.J.N., Nurko, S. & Benninga, M.A. (2017). The pediatric Rome IV criteria: what’s new? Journal Expert Review of Gastroenterology & Hepatology, 11,193-201. https://doi.org/10.1080/17474124.2017.1282820
Zeevenhooven, J., Koppen, I.J.N. & Benninga, M.A. (2017). The New Rome IV Criteria for Functional Gastrointestinal Disorders in Infants and Toddlers. Pediatr. Gastroenterol Hepatol. Nutr., 20(1), 1-13. https://doi.org/10.5223/pghn.2017.20.1.1
Shadrin, O.G. (2017). Suchasni pidhody do diagnostyky ta likuvannya funkcionalnoho zaporu u ditej rannioho viku [Modern approaches to diagnosis and treatment of functional constipation in young children]. Sovremennaya pediatriya – Modern Pediatry, 5(85), 126-130. [in Ukrainian]. https://doi.org/10.15574/SP.2017.85.126
Hyams, J.S., DiLorenzo, C., & van Tilburg M. (2016). Childhood Functional Gastrointestinal Disorders: Child/Adolescent. Gastroenterology, 130 (5), 1456-1468. https://dx.doi.org/10.1053 %2Fj.gastro.2005.08.063
Wessel, M.A., Cobb, J.C., & Detwiler, A.C. (1954). Paroxysmal fussing in infancy, sometimes called colic. Pediatrics, 14, 421-435.
Kheir, A.E.M. (2012). Infantile colic, facts and fiction. Ital. J. Pediatr., Jul 23; 38, 34. https://doi.org/ 10.1186/1824-7288-38-34
Belousova, O.Yu. (2015). Sovremennyy vzglyad na funktsionalnye zapory u detey rannego vozrasta: printsipy nemedikamentoznoy korrektsii [Modern view on functional constipation in young children: principles of non-drug correction]. Zdorovye rebenka – Child Health, 1(60), 140-153 [in Russian]. https://doi.org/10.22141/2224-0551.14.0.2019.165514
Belousova, O.Yu. (2019). Funkstionalnyy zapor u detey rannego vozrasta v svete Rimskikh kriteriiv IV peresmotra. Mezhdunarodnye rekomendatsii [Functional constipation in young children in the light of the Rome IV revision criteria. International recommendations]. Zdorovye rebenka – Child Health, 14 (1), 16-24. [in Russian]. https://doi.org/10.22141/2224-0551.14.0.2019.165514
Voskuijl, W.P., Reitsma, J.B. & van Ginkel, R. (2006). Longitudinal follow-up of children with functional nonretentive fecal incontinence. Clin. Gastroenterol. Hepatol., 4, 67-72. https://doi.org/10.1053/j.gastro.2016.02.015
Saps, M., Pensabene, L. & Lorenzo, C. (2008). Post-infectious functional gastrointestinal disorders in children. J. Pediatr., 152(6), 812-816. https://doi.org/10.1016/j.jpeds.2007.11.042
Devanarayana, N.M. & Rajindrajith, S. (2018). Irritable bowel syndrome in children: Current knowledge, challenges and opportunities. World J. Gastroenterol, 24(21), 2211-2235. https://doi.org/10.3748/wjg.v24.i21.2211
Tabbers, M.M., DiLorenzo, C., & Benninga, M.A. (2014). Evaluation and treatment of functional constipation in infants and children: evidence-based recommendations from ESPGHAN and NASPGHAN. Journal of Pediatric Gastroenterology and Nutrition, 58, 258-274. https://doi.org/10.1097/MPG.0000000000000266
Loening-Baucke, V. (1993). Constipation in early childhood: patient characteristics, treatment, and long-term follow up. Gut, 34, 1400-1404. https://dx.doi.org/10.1136 %2Fgut.34.10.1400
Levy, E.I., Lemmens, R. & Devreker, T. (2017). Functional constipation in children: challenges and solutions. Pediatric Health Med. Ther., 8, 19-27. https://doi.org/10.2147/PHMT.S110940
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