Features of functional disorders of the gastrointestinal tract, manifested by abdominal pain in the youngest age groups
Yu.E. ALLENOVA¹, D.V. PECHKUROV², R.T. GALEEVА3
¹Penza Regional Children’s Clinical Hospital named after N.F. Filatov, 43 Bekeshskya St., Penza, Russian Federation, 440008
²Samara State Medical University, 89 Chapayevskaya St., Samara, Russian Federation, 443099
3Penza Medical Refresher Institute, 8а Stasov St., Penza, Russian Federation, 440060
Allenova Yu.E. — gastroenterologist of Polyclinic for Consulting and Diagnosing, tel. +7-927-094-89-48, e-mail: yulya__allenova@mail.ru
Pechkurov D.V. — D. Med. Sc., Professor of the Pediatrics Department, tel. (846) 959-45-11, e-mail: kdbsamgmu@yandex.ru
Galeeva R.T. — Cand. Med. Sc., Associate Professor of the Department of Neonatology and Pediatrics, tel. (8412) 96-45-44, e-mail: piuv.air@gmail.com
Functional disorders of the gastrointestinal tract (FD GIT), manifested by abdominal pain, in infants and preschool children are not sufficiently researched. In practical terms, there are problems in the diagnostics and treatment of these conditions. The study shows that the trigger of FD GIT formation in these age groups are mainly biological factors: heredity burdened by gastrointestinal diseases, perinatal pathology of the CNS, old intestinal infections and helminthic infestations, frequent use of antibiotics and NSAIDs, defects in the diet.
Key words: functional disorders, younger age, preschool age, abdominal pain, age-related features.
REFERENCES
1. Pechkurov D.V., Shcherbakov P.L., Kaganova T.I. Sindrom dispepsii u detey [Dyspepsia syndrome in children]. Moscow: Medpraktika, 2007.
2. Erdes S.I., Mukhametova E.M. Abdominal pain in children and ways of treatment. Gastrorevyu. Pediatriya. Sbornik izbrannykh statey, 2009, pp. 21-24 (in Russ.).
3. Drossman D.A. The functional gastrointestinal disorders and the Rome ІІІ process. Gastroenterology, 2006, vol. 130 (5), rr. 1377-90.
4. Mukhina Yu.G., Chubarova A.I., Geras’kina V.V. Functional disorders of the gastrointestinal tract in children. Gastroenterologiya, 2003, vol. 3, pp. 112-35 (in Russ.).
5. Antropov Yu.F., Bel’mer S.V. Psikhosomatika v detskoy gastroenterologii [Psychosomatics in pediatric gastroenterology]. 2014. Pp. 128-129.
6. Holtmann G., Talley N.J. Hypothesis driven research and molecular mechanisms in functional dyspepsia: the beginning of a beautiful cooperation in research and practice? Am. J. Gastroenterol., 2006, vol. 101, pp. 593-595.
7. Buonavolonta R., Goccorullo P., Boccia G. et al. Familial aggregation in children affected by functional gastrointestinal disorders. Gut, 2008, vol. 57m suppl. II, p. 3.
8. Rykova S.M., Pogromov A.P., Dyukova G.M., Veyn A.M. Psychovegetative disorders in patients with functional disorders of the upper gastrointestinal tract and GERD. Eksperimental’naya i klinicheskaya gastroenterologiya, 2003, no. 4 (in Russ.).
9. Lee K.J., Kim J.H., Cho S.W. Dietary influence on electro-gastrography and association of alterations in gastric myoelectrical activity with symptoms in patients with functional dyspepsia. I Gastroenterol Hepatol., 2006, 21, rr. 59-64.
10. Pechkurov D.V. Biopsychosocial model of functional disorders of the gastrointestinal tract. Voprosy detskoy dietologii, 2014, vol. 12, no. 1, pp. 61-65 (in Russ.).
11. Mearin F., Pérez-Oliveras M., Perelló A., Vinyet J., Ibañez A., Coderch J. et al. Dyspepsia and irritable bowel syndrome after a S. gastroenteritis outbreak: one-year follow-up cohort study. Gastroenterologu, 2005, vol. 129, rr. 98-104.
12. Hanevik K., Dizdar V., Langeland N., Hausken T. Development of functional gastrointestinal disorders after Giardia lamblia infection. BMC Gastroenterol., 2009, vol. 9, 27 r.
13. Kindt S., Tertychnyy A., de Hertogh G. et al. Intestinal immune activation in presumed postinfectionus functional dyspepsia. Neurogastroenterol Motil., 2009, vol. 21, rr. 832-e56.
14. Il’enko L.I., Kholodova I.N. Osobennosti funktsional’nykh narusheniy kishechnika i ikh preventivnaya terapiya, u detey perenesshikh kriticheskie sostoyaniya [Features functional bowel disorders and their preventive therapy in children undergoing critical condition]. Materialy yubileynogo XX kongressa detskikh gastroenterologov Rossii i stran SNG. 2013. P. 17.
15. Pechkurov D.V., Pakhomova I.A., Poretskova G.Yu. Risk factors for functional dyspepsia in children of primary school age. Prakticheskaya meditsina, 2011, no.1 (48), pp. 96-100 (in Russ.).
16. Kurilovich S.A., Reshetnikov O.V., Denisova D.V. et al. Functional bowel disease in adolescents. Rossiyskiy zhurnal gastroenterologii, gepatologii, koloproktologii, 2000, vol. X, no. 5, p. 103 (in Russ.).
17. Bleykher V.M. Klinicheskaya patopsikhologiya. Rukovodstvo dlya vrachey i meditsinskikh psikhologov [Clinical pathopsychology. Guidelines for doctors and medical psychologists]. Rostov on Don: Feniks, 1996. P. 448.
18. Khertl M. Differentsial’naya diagnostika v pediatrii. V 2 T. (per. s nem.) [Differential diagnosis in pediatrics. In 2 vol. (transl. from German)]. Novosibirsk: Akadem-press, 1998. Vol. 1. Pp. 284-286.
19. Al’bitskiy V.Yu., Baranov A.A., Kamaev I.A. et al. Chasto boleyushchie deti – aktual’naya problema sotsial’noy pediatrii [Often ill children – an actual problem of social pediatrics]. Sotsial’nye i organizatsionnye problemy pediatrii. Izbrannye ocherki. Moscow: Dinastiya, 2003. Pp. 233-252.