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Miguel Saps - One of the best experts on this subject based on the ideXlab platform.
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The Effects of the Rome IV Criteria on Pediatric Gastrointestinal Practice
Current Gastroenterology Reports, 2020Co-Authors: Desiree F. Baaleman, Marc A. Benninga, Carlo Di Lorenzo, Miguel SapsAbstract:Purpose of Review To evaluate the impact of the implementation of the Rome IV criteria on pediatric gastrointestinal practice. Recent Findings In 2016, the Rome IV criteria were published, providing an update of symptom-based criteria to diagnose children with functional gastrointestinal disorders (FGIDs). Summary For neonates and toddlers, Wessel’s criteria for diagnosing infant colic were abandoned, and a differentiation was made between toilet-trained and non-toilet-trained children in the diagnosis of functional constipation. For children and adolescents, two new disorders (functional nausea and functional vomiting) are described, and in the diagnosis of functional dyspepsia, pain does not have to be the chief complaint anymore. This change has made functional dyspepsia the most common functional Abdominal pain disorder, exceeding the prevalence of irritable bowel syndrome (IBS). Lastly, the diagnosis of Abdominal Migraine was narrowed, causing an appropriate drop in its prevalence.
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The Effects of the Rome IV Criteria on Pediatric Gastrointestinal Practice
Current gastroenterology reports, 2020Co-Authors: Desiree F. Baaleman, Marc A. Benninga, Carlo Di Lorenzo, Miguel SapsAbstract:To evaluate the impact of the implementation of the Rome IV criteria on pediatric gastrointestinal practice. In 2016, the Rome IV criteria were published, providing an update of symptom-based criteria to diagnose children with functional gastrointestinal disorders (FGIDs). For neonates and toddlers, Wessel’s criteria for diagnosing infant colic were abandoned, and a differentiation was made between toilet-trained and non-toilet-trained children in the diagnosis of functional constipation. For children and adolescents, two new disorders (functional nausea and functional vomiting) are described, and in the diagnosis of functional dyspepsia, pain does not have to be the chief complaint anymore. This change has made functional dyspepsia the most common functional Abdominal pain disorder, exceeding the prevalence of irritable bowel syndrome (IBS). Lastly, the diagnosis of Abdominal Migraine was narrowed, causing an appropriate drop in its prevalence.
Marc A. Benninga - One of the best experts on this subject based on the ideXlab platform.
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The Effects of the Rome IV Criteria on Pediatric Gastrointestinal Practice
Current Gastroenterology Reports, 2020Co-Authors: Desiree F. Baaleman, Marc A. Benninga, Carlo Di Lorenzo, Miguel SapsAbstract:Purpose of Review To evaluate the impact of the implementation of the Rome IV criteria on pediatric gastrointestinal practice. Recent Findings In 2016, the Rome IV criteria were published, providing an update of symptom-based criteria to diagnose children with functional gastrointestinal disorders (FGIDs). Summary For neonates and toddlers, Wessel’s criteria for diagnosing infant colic were abandoned, and a differentiation was made between toilet-trained and non-toilet-trained children in the diagnosis of functional constipation. For children and adolescents, two new disorders (functional nausea and functional vomiting) are described, and in the diagnosis of functional dyspepsia, pain does not have to be the chief complaint anymore. This change has made functional dyspepsia the most common functional Abdominal pain disorder, exceeding the prevalence of irritable bowel syndrome (IBS). Lastly, the diagnosis of Abdominal Migraine was narrowed, causing an appropriate drop in its prevalence.
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The Effects of the Rome IV Criteria on Pediatric Gastrointestinal Practice
Current gastroenterology reports, 2020Co-Authors: Desiree F. Baaleman, Marc A. Benninga, Carlo Di Lorenzo, Miguel SapsAbstract:To evaluate the impact of the implementation of the Rome IV criteria on pediatric gastrointestinal practice. In 2016, the Rome IV criteria were published, providing an update of symptom-based criteria to diagnose children with functional gastrointestinal disorders (FGIDs). For neonates and toddlers, Wessel’s criteria for diagnosing infant colic were abandoned, and a differentiation was made between toilet-trained and non-toilet-trained children in the diagnosis of functional constipation. For children and adolescents, two new disorders (functional nausea and functional vomiting) are described, and in the diagnosis of functional dyspepsia, pain does not have to be the chief complaint anymore. This change has made functional dyspepsia the most common functional Abdominal pain disorder, exceeding the prevalence of irritable bowel syndrome (IBS). Lastly, the diagnosis of Abdominal Migraine was narrowed, causing an appropriate drop in its prevalence.
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Abdominal Migraine in children: association between gastric motility parameters and clinical characteristics
BMC gastroenterology, 2016Co-Authors: Niranga Manjuri Devanarayana, Shaman Rajindrajith, Marc A. BenningaAbstract:Approximately 0.2–1 % of children suffers from Abdominal Migraine (AM). Pathophysiology of AM has not been adequately studied. This study evaluated gastric motility in children with AM. Seventeen children (6 boys), within an age range of 4–15 years, referred to a tertiary care paediatric unit, North Colombo Teaching Hospital Ragama, Sri Lanka, from 2007 to 2012, were screened. Those fulfilling Rome III criteria for AM were recruited after obtaining parental consent. None had clinical or laboratory evidence of organic disorders. Twenty healthy children (8 boys), with an age range of 4–14 years, were recruited as controls. Liquid gastric emptying rate (GE) and antral motility parameters were assessed using an ultrasound method. Average GE (41.6 % vs. 66.2 %, in controls), amplitude of antral contractions (A) (57.9 % vs. 89.0 %) and antral motility index (MI) (5.0 vs. 8.3) were lower and fasting antral area (1.8 cm2 vs. 0.6 cm2) was higher in children with AM (p
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Abdominal Migraine in children association between gastric motility parameters and clinical characteristics
BMC Gastroenterology, 2016Co-Authors: Niranga Manjuri Devanarayana, Shaman Rajindrajith, Marc A. BenningaAbstract:Approximately 0.2–1 % of children suffers from Abdominal Migraine (AM). Pathophysiology of AM has not been adequately studied. This study evaluated gastric motility in children with AM. Seventeen children (6 boys), within an age range of 4–15 years, referred to a tertiary care paediatric unit, North Colombo Teaching Hospital Ragama, Sri Lanka, from 2007 to 2012, were screened. Those fulfilling Rome III criteria for AM were recruited after obtaining parental consent. None had clinical or laboratory evidence of organic disorders. Twenty healthy children (8 boys), with an age range of 4–14 years, were recruited as controls. Liquid gastric emptying rate (GE) and antral motility parameters were assessed using an ultrasound method. Average GE (41.6 % vs. 66.2 %, in controls), amplitude of antral contractions (A) (57.9 % vs. 89.0 %) and antral motility index (MI) (5.0 vs. 8.3) were lower and fasting antral area (1.8 cm2 vs. 0.6 cm2) was higher in children with AM (p < 0.01). No significant difference in the frequency of antral contractions (F) (8.8/3 min vs. 9.3/3 min, p = 0.08) was found between the two groups. Scores obtained for severity of Abdominal pain had a negative correlation with A (r = −0.55, p = 0.03). Average duration of Abdominal pain episodes correlated with GE (r = −0.58, p = 0.02). Negative correlations were observed between duration of AM and A (r = −0.55), F (r = −0.52), and MI (r = −0.57) (p < 0.05). GE and antral motility parameters were significantly lower in children with AM. A significant correlation was found between symptoms and gastric motility. These findings suggest a possible role of abnormal gastric motility in the pathogenesis of AM.
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Functional childhood gastrointestinal disorders. I. Chronic Abdominal pain
Nederlands tijdschrift voor geneeskunde, 2003Co-Authors: Van Ginkel R, H. A. Büller, Hugo S. A. Heymans, Jan A.j.m. Taminiau, Marc A. BenningaAbstract:Chronic Abdominal pain occurs in 17% of children aged 0-14 years with a peak of 33% at the age of 7 years. According to the Rome II criteria Abdominal pain disorders can be classified as functional dyspepsia, irritable bowel syndrome, functional Abdominal pain, Abdominal Migraine, and aerophagia. This new classification will hopefully lead to a more careful diagnosis of functional Abdominal pain syndromes and to better treatment strategies. A thorough history taking and physical examination are the cornerstone of diagnostic workup in children with chronic Abdominal pain. An extensive explanation and reassurance are the basis of an adequate treatment and in the majority of cases this is successful.
Desiree F. Baaleman - One of the best experts on this subject based on the ideXlab platform.
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The Effects of the Rome IV Criteria on Pediatric Gastrointestinal Practice
Current Gastroenterology Reports, 2020Co-Authors: Desiree F. Baaleman, Marc A. Benninga, Carlo Di Lorenzo, Miguel SapsAbstract:Purpose of Review To evaluate the impact of the implementation of the Rome IV criteria on pediatric gastrointestinal practice. Recent Findings In 2016, the Rome IV criteria were published, providing an update of symptom-based criteria to diagnose children with functional gastrointestinal disorders (FGIDs). Summary For neonates and toddlers, Wessel’s criteria for diagnosing infant colic were abandoned, and a differentiation was made between toilet-trained and non-toilet-trained children in the diagnosis of functional constipation. For children and adolescents, two new disorders (functional nausea and functional vomiting) are described, and in the diagnosis of functional dyspepsia, pain does not have to be the chief complaint anymore. This change has made functional dyspepsia the most common functional Abdominal pain disorder, exceeding the prevalence of irritable bowel syndrome (IBS). Lastly, the diagnosis of Abdominal Migraine was narrowed, causing an appropriate drop in its prevalence.
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The Effects of the Rome IV Criteria on Pediatric Gastrointestinal Practice
Current gastroenterology reports, 2020Co-Authors: Desiree F. Baaleman, Marc A. Benninga, Carlo Di Lorenzo, Miguel SapsAbstract:To evaluate the impact of the implementation of the Rome IV criteria on pediatric gastrointestinal practice. In 2016, the Rome IV criteria were published, providing an update of symptom-based criteria to diagnose children with functional gastrointestinal disorders (FGIDs). For neonates and toddlers, Wessel’s criteria for diagnosing infant colic were abandoned, and a differentiation was made between toilet-trained and non-toilet-trained children in the diagnosis of functional constipation. For children and adolescents, two new disorders (functional nausea and functional vomiting) are described, and in the diagnosis of functional dyspepsia, pain does not have to be the chief complaint anymore. This change has made functional dyspepsia the most common functional Abdominal pain disorder, exceeding the prevalence of irritable bowel syndrome (IBS). Lastly, the diagnosis of Abdominal Migraine was narrowed, causing an appropriate drop in its prevalence.
George Russell - One of the best experts on this subject based on the ideXlab platform.
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Abdominal Migraine
Pediatric Drugs, 2002Co-Authors: George Russell, Ishaq Abu-arafeh, David N. K. SymonAbstract:There is evidence to suggest that, in children, episodic Abdominal pain occurring in the absence of headache may be a migrainous phenomenon. There are four separate strands of evidence for this: (i) the common co-existence of Abdominal pain and Migraine headaches; (ii) the similarity between children with episodic Abdominal pain and children with Migraine headaches, with respect to social and demographic factors, precipitating and relieving factors, and accompanying gastrointestinal, neurological and vasomotor features; (iii) the effectiveness of non-analgesic Migraine therapy (such as pizotifen, propanolol, cyproheptadine and the triptans) in Abdominal Migraine; and (iv) the finding of similar neurophysiological features in both Migraine headache and Abdominal Migraine. Abdominal Migraine is rare, but not unknown, in adults. Many families are content with a diagnosis and reassurance that the episodes, though distressing, are not the result of serious pathology. Some patients respond to simple dietary and other prophylactic measures. There is scant evidence on which to base recommendations for the drug management of Abdominal Migraine. What little literature exists suggests that the antiMigraine drugs pizotifen, propanolol and cyproheptadine are effective prophylactics. Nasal sumatriptan (although not licensed for pediatric use) may be effective in relieving Abdominal Migraine attacks.
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Abdominal Migraine: evidence for existence and treatment options.
Paediatric drugs, 2002Co-Authors: George Russell, Ishaq Abu-arafeh, David N. K. SymonAbstract:There is evidence to suggest that, in children, episodic Abdominal pain occurring in the absence of headache may be a migrainous phenomenon. There are four separate strands of evidence for this: (i) the common co-existence of Abdominal pain and Migraine headaches; (ii) the similarity between children with episodic Abdominal pain and children with Migraine headaches, with respect to social and demographic factors, precipitating and relieving factors, and accompanying gastrointestinal, neurological and vasomotor features; (iii) the effectiveness of nonanalgesic Migraine therapy (such as pizotifen, propanolol, cyproheptadine and the triptans) in Abdominal Migraine; and (iv) the finding of similar neurophysiological features in both Migraine headache and Abdominal Migraine. Abdominal Migraine is rare, but not unknown, in adults. Many families are content with a diagnosis and reassurance that the episodes, though distressing, are not the result of serious pathology. Some patients respond to simple dietary and other prophylactic measures. There is scant evidence on which to base recommendations for the drug management of Abdominal Migraine. What little literature exists suggests that the antiMigraine drugs pizotifen, propanolol and cyproheptadine are effective prophylactics. Nasal sumatriptan (although not licensed for pediatric use) may be effective in relieving Abdominal Migraine attacks.
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The prognosis of childhood Abdominal Migraine
Archives of disease in childhood, 2001Co-Authors: F Dignan, Ishaq Abu-arafeh, George RussellAbstract:AIMS—To determine the clinical course of childhood Abdominal Migraine, seven to 10 years after the diagnosis. METHODS—A total of 54 children with Abdominal Migraine were studied; 35 were identified from a population survey carried out on Aberdeen schoolchildren between 1991 and 1993, and 19 from outpatient records of children in the same age group who had attended the Royal Aberdeen Children's Hospital. Controls were 54 children who did not have Abdominal pain in childhood, matched for age and sex, obtained from either the population survey or the patient administration system. Main outcome measures were presence or resolution of Abdominal Migraine and past or present history of headache fulfilling the International Headache Society (IHS) criteria for the diagnosis of Migraine. RESULTS—Abdominal Migraine had resolved in 31 cases (61%). Seventy per cent of cases with Abdominal Migraine were either current (52%) or previous (18%) sufferers from headaches that fulfilled the IHS criteria for Migraine, compared to 20% of the controls. CONCLUSIONS—These results support the concept of Abdominal Migraine as a Migraine prodrome, and suggest that our diagnostic criteria for the condition are robust.
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the relationship between cyclic vomiting syndrome and Abdominal Migraine
Journal of Pediatric Gastroenterology and Nutrition, 1995Co-Authors: David N K Symo, George RussellAbstract:Abdominal Migraine and cyclic vomiting are both self-limiting episodic conditions of children, with periods of complete normality between episodes. The clinical features of both syndromes show considerable similarity, and resemble those found in association with Migraine headaches. It is proposed that cyclic vomiting is a condition related to Migraine.
Carlo Di Lorenzo - One of the best experts on this subject based on the ideXlab platform.
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The Effects of the Rome IV Criteria on Pediatric Gastrointestinal Practice
Current Gastroenterology Reports, 2020Co-Authors: Desiree F. Baaleman, Marc A. Benninga, Carlo Di Lorenzo, Miguel SapsAbstract:Purpose of Review To evaluate the impact of the implementation of the Rome IV criteria on pediatric gastrointestinal practice. Recent Findings In 2016, the Rome IV criteria were published, providing an update of symptom-based criteria to diagnose children with functional gastrointestinal disorders (FGIDs). Summary For neonates and toddlers, Wessel’s criteria for diagnosing infant colic were abandoned, and a differentiation was made between toilet-trained and non-toilet-trained children in the diagnosis of functional constipation. For children and adolescents, two new disorders (functional nausea and functional vomiting) are described, and in the diagnosis of functional dyspepsia, pain does not have to be the chief complaint anymore. This change has made functional dyspepsia the most common functional Abdominal pain disorder, exceeding the prevalence of irritable bowel syndrome (IBS). Lastly, the diagnosis of Abdominal Migraine was narrowed, causing an appropriate drop in its prevalence.
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The Effects of the Rome IV Criteria on Pediatric Gastrointestinal Practice
Current gastroenterology reports, 2020Co-Authors: Desiree F. Baaleman, Marc A. Benninga, Carlo Di Lorenzo, Miguel SapsAbstract:To evaluate the impact of the implementation of the Rome IV criteria on pediatric gastrointestinal practice. In 2016, the Rome IV criteria were published, providing an update of symptom-based criteria to diagnose children with functional gastrointestinal disorders (FGIDs). For neonates and toddlers, Wessel’s criteria for diagnosing infant colic were abandoned, and a differentiation was made between toilet-trained and non-toilet-trained children in the diagnosis of functional constipation. For children and adolescents, two new disorders (functional nausea and functional vomiting) are described, and in the diagnosis of functional dyspepsia, pain does not have to be the chief complaint anymore. This change has made functional dyspepsia the most common functional Abdominal pain disorder, exceeding the prevalence of irritable bowel syndrome (IBS). Lastly, the diagnosis of Abdominal Migraine was narrowed, causing an appropriate drop in its prevalence.
