Journal List > Korean J Pediatr Gastroenterol Nutr > v.14(Suppl 1) > 1043542

Korean J Pediatr Gastroenterol Nutr. 2011 Dec;14(Suppl 1):S9-S18. Korean.
Published online December 31, 2011.  https://doi.org/10.5223/kjpgn.2011.14.Suppl1.S9
Copyright © 2011 The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition
Clinical Approach to Functional Gastrointestinal Disorders in Children: Revolve Around on Cyclic Vomiting Syndrome and Aerophagia
Kun Song Lee, M.D.
Department of Pediatrics, Dankook University College of Medicine, Cheonan, Korea.

Corresponding author (Email: pdlks@hanmail.net )
Received December 05, 2011; Revised December 16, 2011; Accepted December 20, 2011.

Abstract

Functional gaonic or recurrent gastrointestinal symptoms not explained by structural or biochemical abnormalities. The Rome II pediatric criteria for FGIDs were announced in 1999. The Rome III criteria, update and revise the pediatric criteria, included FGIDs criteria of infant and toddler to child and adolescent (aged 4 to 18 years). The aerophagia was classified into abdominal pain-related FGIDs in the ROME II criteria. However, cyclic vomiting syndrome and aerophagia, both were classified into vomiting and aerophagia part in the ROME III criteria. We describe the clinical features, diagnostic criteria, and treatments of cyclic vomiting syndrome and aerophaiga among pediatrstrointestinal disorders (FGIDs) are defined as a chric FGIDs

Keywords: Functional gastrointestinal disorders; Cyclic vomiting syndrome; Aerophagia; Adolescent; Child

Figures


 Fig. 1
Esophageal air sign; there was an abnormal air shadow on the proximal esophagus adjacent to the trachea. Adapted from J Pediatr Gastroenterol Nutr 2005;41:612-6.
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Fig. 2
Clinical approach of aerophagia.
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Fig. 3
Evaluation of cyclic vomting syndrome in children. Adapted from J Pediatr Gastroenterol Nutr 2008;47:379-93.
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Tables


 Table 1
Diagnostic Criteria* for Aerophagia Must Include at Least 2 of the Following
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Table 2
Precipitating Factors for Cyclic Vomiting Syndrome
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Table 3
Criteria for Cyclic Vomiting Syndrome*
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Table 4
Alarm Symptoms of Being Suspected High Risk Diseases in Diagnosis with Cyclic Vomiting Syndrome
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Table 5
Prophylactic or Preventive Medications* in Cyclic Vomiting Syndrome
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Table 6
Sample Treatment Protocol Order Sheet for a Child Having an Acute Attack of Cyclic Vomiting Syndrome
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