Department of Pediatrics, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seoul, Korea.
J Neurogastroenterol Motil. 2010 Apr;16(2):139-47. doi: 10.5056/jnm.2010.16.2.139. Epub 2010 Apr 27.
Cyclic vomiting syndrome (CVS) is a functional gastrointestinal disorder that can occur in both children and adults. Clinical courses of CVS manifesting recurrent severe vomiting episodes and interval illness may affect the long-term quality of life in children with CVS. Therefore, we should be careful in accessing a patient suggestive of CVS. Accurate diagnosis based on diagnostic criteria for CVS and the exclusion from other organic diseases mimicking clinical manifestations of cyclic vomiting is absolutely required. In patients diagnosed as CVS, optimal therapy should be performed to improve symptoms and to reduce complications in prodromal phase and emetic phase, and long-term prophylactic therapy should be tried to prevent the development of vomiting episodes. The identification of triggering factors which induce vomiting episodes might be helpful in preventing vomiting attacks. Systematic approach should be recommended to improve clinical outcome of CVS.
周期性呕吐综合征（CVS）是一种功能性胃肠道疾病，可发生在儿童和成人中。表现为反复严重呕吐发作和间歇期疾病的 CVS 临床病程可能会影响 CVS 患儿的长期生活质量。因此，我们应该仔细评估疑似 CVS 的患者。绝对需要根据 CVS 的诊断标准进行准确诊断，并排除其他模拟周期性呕吐临床表现的器质性疾病。在诊断为 CVS 的患者中，应进行最佳治疗以改善症状，并减少前驱期和呕吐期的并发症，尝试长期预防性治疗以预防呕吐发作的发展。识别引起呕吐发作的诱发因素可能有助于预防呕吐发作。建议采用系统方法来改善 CVS 的临床结果。
