Korean J Pediatr Gastroenterol Nutr.  2011 Dec;14(Suppl 1):S9-S18. 10.5223/kjpgn.2011.14.Suppl1.S9.

Clinical Approach to Functional Gastrointestinal Disorders in Children: Revolve Around on Cyclic Vomiting Syndrome and Aerophagia

Affiliations
  • 1Department of Pediatrics, Dankook University College of Medicine, Cheonan, Korea. pdlks@hanmail.net

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

Keyword

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

MeSH Terms

Adolescent
Child
Gastrointestinal Diseases
Humans
Infant
Rome
Vomiting
Vomiting

Figure

  • 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.

  • Fig. 2 Clinical approach of aerophagia.

  • Fig. 3 Evaluation of cyclic vomting syndrome in children. Adapted from J Pediatr Gastroenterol Nutr 2008;47:379-93.


Reference

1. Rasquin A, Di Lorenzo C, Forbes D, Guiraldes E, Hyams JS, Staiano A, et al. Childhood functional gastrointestinal disorders: child/adolescent. Gastroenterology. 2006. 130:1527–1537.
Article
2. Apley J, Naish N. Recurrent abdominal pains: a field survey of 1,000 school children. Arch Dis Child. 1958. 33:165–170.
Article
3. Kleiman RE, Goulet O, Mieli-Vergani G, Sanderson IR, Sherman PM, Shneider BL. Walker's pediatric gastrointestinal disease: physiology, diagnosis, management. 2008. 5th ed. Hamilton: BC Decker INC;712–713.
4. Rasquin-Weber A, Hyman PE, Cucchiara S, Fleisher DR, Hyams JS, Milla PJ, et al. Childhood functional gastrointestinal disorders. Gut. 1999. 45:Suppl 2. ii60–ii68.
Article
5. Ko JS. Update on pediatric functional upper gastrointestinal disorders. Korean J Pediatr Gastroenterol Nutr. 2007. 10:Suppl 1. 29–35.
6. Han JJ, Yang HR, Ko JS, Seo JK. Chronic abdominal pain-related childhood functional gastrointestinal disorders based on the Rome III criteria in Korea. Korean J Pediatr Gastroenterol Nutr. 2009. 12:111–119.
Article
7. Kim DS, Nho HN, Kim C, Lee HW, Yoon JH, Uhm JH. Diagnosis of functional gastrointestinal disorders with Rome III criteria in korean pediatric and adolescent patients: clinical usefulness of QPGS. Korean J Pediatr Gastroenterol Nutr. 2009. 12:120–132.
Article
8. Hwang JB, Jeong SH. Practical diagnostic approaches to chronic abdominal pain in children and adolescents. J Korean Med Assoc. 2009. 52:271–284.
Article
9. Hwang JB. Update in pathologic childhood aerophagia. Korean J Pediatr Gastroenterol Nutr. 2007. 10:Suppl 2. 37–45.
10. Smith SW. Aerophagy. Br Med J. 1940. 1:296–297.
Article
11. Chitkara DK, Bredenoord AJ, Wang M, Rucker MJ, Talley NJ. Aerophagia in children: characterization of a functional gastrointestinal disorder. Neurogastroenterol Motil. 2005. 17:518–522.
Article
12. Appleby BS, Rosenberg PB. Aerophagia as the initial presenting symptom of a depressed patient. Prim Care Companion J Clin Psychiatry. 2006. 8:245–246.
Article
13. Frye RE, Hait EJ. Air swallowing caused recurrent ileus in Tourette's syndrome. Pediatrics. 2006. 117:e1249–e1252.
Article
14. Hwang JB, Choi WJ, Kim JS, Lee SY, Jung CH, Lee YH, et al. Clinical features of pathologic childhood aerophagia: early recognition and essential diagnostic criteria. J Pediatr Gastroenterol Nutr. 2005. 41:612–616.
Article
15. Bredenoord AJ, Weusten BL, Sifrim D, Timmer R, Smout AJ. Aerophagia, gastric, and supragastric belching: a study using intraluminal electrical impedance monitoring. Gut. 2004. 53:1561–1565.
Article
16. Hemmink GJ, Weusten BL, Bredenoord AJ, Timmer R, Smout AJ. Aerophagia: excessive air swallowing demonstrated by esophageal impedance monitoring. Clin Gastroenterol Hepatol. 2009. 7:1127–1129.
Article
17. Bredenoord AJ. Excessive belching and aerophagia: two different disorders. Dis Esophagus. 2010. 23:347–352.
Article
18. Basaran UN, Inan M, Aksu B, Ceylan T. Colon perforation due to pathologic aerophagia in an intellectually disabled child. J Paediatr Child Health. 2007. 43:710–712.
Article
19. Wyllie R, Hyams J, Kay M. Pediatric gastrointestinal and liver disease. 2011. 4th ed. Philadelphia: Saunders;101–104.
20. Fitzpatrick E, Bourke B, Drumm B, Rowland M. The incidence of cyclic vomiting syndrome in children: population-based study. Am J Gastroenterol. 2008. 103:991–995. quiz 6.
Article
21. Gee S. On fitful or recurrent vomiting. St Bart Hosp Rep. 1882. 18.
22. Li BU, Lefevre F, Chelimsky GG, Boles RG, Nelson SP, Lewis DW, et al. North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition consensus statement on the diagnosis and management of cyclic vomiting syndrome. J Pediatr Gastroenterol Nutr. 2008. 47:379–393.
Article
23. The International Classification of Headache Disorders: 2nd edition. Cephalalgia. 2004. 24:Suppl 1. 9–160.
24. Park JY, Nam SO, Eun SH, You SJ, Kang HC, Eun BL, et al. Multicenter clinical study of childhood periodic syndromes that are common precursors to migraine using new criteria of the International Classification of Headache Disorders (ICHD-II). Korean J Pediatr. 2009. 52:557–566.
Article
25. Cheon JM, Um MR, Lee MH, Beck NS. Clinical evaluation of cyclic vomiting syndrome. J Korean Pediatr Soc. 2000. 43:1223–1231.
26. Yang HR, Ko JS, Seo JK. A study on the disease course and prognosis of cyclic vomiting syndrome. J Korean Pediatr Soc. 2001. 44:1141–1156.
27. Yang HR. Recent concepts on cyclic vomiting syndrome in children. J Neurogastroenterol Motil. 2010. 16:139–147.
Article
28. Pareek N, Fleisher DR, Abell T. Cyclic vomiting syndrome: what a gastroenterologist needs to know. Am J Gastroenterol. 2007. 102:2832–2840.
Article
29. Bae SH. Cyclic vomiting syndrome. Korean J Pediatr Gastroenterol Nutr. 2007. 10:Suppl 2. 25–30.
30. Zaki EA, Freilinger T, Klopstock T, Baldwin EE, Heisner KR, Adams K, et al. Two common mitochondrial DNA polymorphisms are highly associated with migraine headache and cyclic vomiting syndrome. Cephalalgia. 2009. 29:719–728.
Article
31. Boles RG, Zaki EA, Lavenbarg T, Hejazi R, Foran P, Freeborn J, et al. Are pediatric and adult-onset cyclic vomiting syndrome (CVS) biologically different conditions? Relationship of adult-onset CVS with the migraine and pediatric CVS-associated common mtDNA polymorphisms 16519T and 3010A. Neurogastroenterol Motil. 2009. 21:936–972.
Article
32. Park MR, Seo JK, Ko JS, Chang JY, Yang HR. Acute intermittent porphyria presented with recurrent abdominal pain and hypertension. Korean J Pediatr Gastroenterol Nutr. 2011. 14:81–85.
Article
33. Sim YJ, Kim Jm, Kwon S, Choe BH. Clinical experience with amitriptyline for management of children with cyclic vomiting syndrome. Korean J Pediatr. 2009. 52:538–543.
Article
Full Text Links
  • KJPGN
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr