지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한소아소화기영양학회 Pediatric Gastroenterology, Hepatology & Nutrition Pediatric Gastroenterology, Hepatology & Nutrition 제18권 제4호
- 발행연도
- 2015.1
- 수록면
- 224 - 229 (6page)
이용수
초록· 키워드
오류제보하기
Cyclic vomiting syndrome (CVS) is a functional disorder characterized by stereotypical episodes of intense vomiting separated by weeks to months. Although it can occur at any age, the most common age at presentation is 3-7 years. There is no gender predominance. The precise pathophysiology of CVS is not known but a strong association with migraine headaches, in the patient as well as the mother indicates that it may represent a mitochondriopathy. Studies have also suggested the role of an underlying autonomic neuropathy involving the sympathetic nervous system in its pathogenesis. CVS has known triggers in many individuals and avoiding these triggers can help prevent the onset of the episodes. It typically presents in four phases: a prodrome, vomiting phase, recovery phase and an asympto-matic phase until the next episode. Complications such as dehydration and hematemesis from Mallory Wise tear of the esophageal mucosa may occur in more severe cases. Blood and urine tests and abdominal imaging may be indicated depending upon the severity of symptoms. Brain magnetic resonance imaging and upper gastrointestinal endoscopy may also be indicated in certain circumstances. Management of an episode after it has started (‘abortivetreatment’) includes keeping the patient in a dark and quiet room, intravenous hydration, ondansetron, sumatriptan, clonidine, and benzodiazepines. Prophylactic treatment includes cyproheptadine, propranolol and amitriptyline. No mortality has been reported as a direct result of CVS and many children outgrow it over time. A subset may develop other functional disorders like irritable bowel syndrome and migraine headaches.
목차
등록된 정보가 없습니다.
참고문헌 (25)
참고문헌 신청
Boles RG / 2005 / Maternal inheritance in cyclic vomiting syndrome / Am J Med Genet A 133A : 71 ~ 77
Boles RG / 2009 / Are pediatric and adult-onset cyclic vomiting syndrome (CVS) biologically different conditions? Relationship of adult-onset CVS with the migraine and pedia
Chang YH / 2009 / Cannabinoid hyperemesis relieved by compulsive bathing / Mayo Clin Proc 84 : 76 ~ 78
Devanarayana NM / 2011 / Prevalence of functional gastrointestinal diseases in a cohort of Sri Lankan adolescents: comparison between Rome II and Rome III criteria / J Trop P
Fitzpatrick E / 2008 / The incidence of cyclic vomiting syndrome in children: population-based study / Am J Gastroenterol 103 : 991 ~ 995
Boles RG / 2009 / Are pediatric and adult-onset cyclic vomiting syndrome (CVS) biologically different conditions? Relationship of adult-onset CVS with the migraine and pedia
Chang YH / 2009 / Cannabinoid hyperemesis relieved by compulsive bathing / Mayo Clin Proc 84 : 76 ~ 78
Devanarayana NM / 2011 / Prevalence of functional gastrointestinal diseases in a cohort of Sri Lankan adolescents: comparison between Rome II and Rome III criteria / J Trop P
Fitzpatrick E / 2008 / The incidence of cyclic vomiting syndrome in children: population-based study / Am J Gastroenterol 103 : 991 ~ 995
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