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1
Coeliac disease in a child with anorectal malformation: The importance of considering other causes of diarrhea.患有肛门直肠畸形的儿童中的乳糜泻：考虑腹泻其他病因的重要性。
J Indian Assoc Pediatr Surg. 2010 Jan;15(1):30-1. doi: 10.4103/0971-9261.69140.
2
Long-term disease-specific quality of life in children and adolescent patients with ARM.成人生存质量专量表在 ARM 患儿及青少年患者中的长期应用
J Pediatr Surg. 2012 Jul;47(7):1317-22. doi: 10.1016/j.jpedsurg.2012.01.068.
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Coeliac disease and gastrointestinal symptom screening in adult first-degree relatives.成年一级亲属的乳糜泻和胃肠道症状筛查
J Gastroenterol Hepatol. 2017 Dec;32(12):1931-1937. doi: 10.1111/jgh.13801.
4
Urological problems or fecal continence during long-term follow-up of patients with anorectal malformation.肛门直肠畸形患者长期随访期间的泌尿系统问题或大便失禁
Pediatr Surg Int. 2010 Jul;26(7):683-9. doi: 10.1007/s00383-010-2626-1. Epub 2010 May 27.
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Quality of life for children with fecal incontinence after surgically corrected anorectal malformation.手术矫正肛门直肠畸形后大便失禁儿童的生活质量
J Pediatr Surg. 2000 Mar;35(3):462-4. doi: 10.1016/s0022-3468(00)90215-x.
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Systematic review: sacral nerve stimulation in the treatment of constipation and fecal incontinence in children with emphasis in anorectal malformation.系统评价：骶神经刺激治疗儿童便秘和大便失禁，重点关注肛门直肠畸形
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Diagnosis and nursing management of coeliac disease in children.儿童乳糜泻的诊断与护理管理
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[Artificial bowel sphincter ten years later].[十年后的人工肛门括约肌]
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Effect of gluten-free diet and adherence on growth and diabetic control in diabetics with coeliac disease.无麸质饮食及其依从性对患有乳糜泻的糖尿病患者生长和血糖控制的影响。
Arch Dis Child. 2004 Sep;89(9):871-6. doi: 10.1136/adc.2002.012799.

本文引用的文献

1
Clinical features of celiac disease in Indian children: are they different from the West?印度儿童乳糜泻的临床特征：与西方儿童有差异吗？
J Pediatr Gastroenterol Nutr. 2006 Sep;43(3):313-7. doi: 10.1097/01.mpg.0000231589.32114.9d.
2
Celiac disease with mild to moderate histologic changes is a common cause of chronic diarrhea in Indian children.组织学改变为轻至中度的乳糜泻是印度儿童慢性腹泻的常见病因。
J Pediatr Gastroenterol Nutr. 2005 Aug;41(2):204-9. doi: 10.1097/01.mpg.0000172261.24115.29.
3
Pediatric celiac disease in India is associated with multiple DR3-DQ2 haplotypes.印度的小儿乳糜泻与多种DR3-DQ2单倍型相关。
Hum Immunol. 2002 Aug;63(8):677-82. doi: 10.1016/s0198-8859(02)00413-5.
4
Pathophysiology of chronic constipation in anorectal malformations. Long-term results and preliminary anatomical investigations.肛门直肠畸形中慢性便秘的病理生理学。长期结果及初步解剖学研究。
Eur J Pediatr Surg. 2001 Oct;11(5):305-10. doi: 10.1055/s-2001-18558.
5
Fecal continence in patients having undergone posterior sagittal anorectoplasty procedure for a high anorectal malformation improves at adolescence, as constipation disappears.因高位肛门直肠畸形接受后矢状位肛门直肠成形术的患者，在青春期时随着便秘消失，大便失禁情况会有所改善。
J Pediatr Surg. 2001 Aug;36(8):1218-21. doi: 10.1053/jpsu.2001.25766.
6
The clinical pattern of subclinical/silent celiac disease: an analysis on 1026 consecutive cases.亚临床/无症状性乳糜泻的临床模式：对1026例连续病例的分析
Am J Gastroenterol. 1999 Mar;94(3):691-6. doi: 10.1111/j.1572-0241.1999.00938.x.
7
Identification of tissue transglutaminase as the autoantigen of celiac disease.鉴定组织转谷氨酰胺酶为乳糜泻的自身抗原。
Nat Med. 1997 Jul;3(7):797-801. doi: 10.1038/nm0797-797.
8
Coeliac disease in North Indian children.印度北部儿童的乳糜泻
Br Med J. 1966 Nov 19;2(5524):1233-4. doi: 10.1136/bmj.2.5524.1233.

患有肛门直肠畸形的儿童中的乳糜泻：考虑腹泻其他病因的重要性。

Coeliac disease in a child with anorectal malformation: The importance of considering other causes of diarrhea.

作者信息

Gopal Milan, Nour Shawqui, Hoskyns Wren

机构信息

Department of Paediatric Surgery, Leicester Royal Infirmary, Infirmary Square, Leicester, LE1 5WW, UK.

出版信息

J Indian Assoc Pediatr Surg. 2010 Jan;15(1):30-1. doi: 10.4103/0971-9261.69140.

DOI:10.4103/0971-9261.69140
PMID:21180503
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2998667/
Abstract

We present the case of an Indian child with a high anorectal malformation (ARM) who postoperatively had troublesome fecal incontinence. Based on a dietary history, weight loss, and diarrhea, a duodenal biopsy was performed that revealed coeliac disease. Since being on a gluten-free diet, her symptoms have improved dramatically. To the best of our knowledge this is the first report in the English literature of such an association between ARMs and coeliac disease. Dietary modification alone can dramatically improve symptoms in these children.

摘要

我们报告一例患有高位肛门直肠畸形（ARM）的印度儿童病例，该患儿术后出现严重的大便失禁问题。基于饮食史、体重减轻和腹泻情况，进行了十二指肠活检，结果显示患有乳糜泻。自从采用无麸质饮食后，她的症状有了显著改善。据我们所知，这是英文文献中关于ARM与乳糜泻之间这种关联的首例报告。仅通过饮食调整就能显著改善这些儿童的症状。