El-Chammas Khalil I, Rumman Nisreen, Goh Vi Lier, Quintero Diana, Goday Praveen S
*Mercy Medical Center, Department of Pediatrics, Pediatric Gastroenterology, Hepatology and Nutrition, Des Moines, IA †Division of Pediatric Pulmonology, Department of Pediatrics, Makassed Hospital, Jerusalem, Israel ‡Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics, Boston University, Boston, MA §Division of Pediatric Pulmonology, Department of Pediatrics ||Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics, Medical College of Wisconsin, Milwaukee.
J Pediatr Gastroenterol Nutr. 2015 Jan;60(1):110-2. doi: 10.1097/MPG.0000000000000546.
Screening for cystic fibrosis (CF) is suggested in patients with rectal prolapse (RP). Little is known about the association between CF and RP in the era of newborn screening for CF. Our retrospective review showed that 3.6% of patients with RP had CF, and 3.5% of patients with CF had RP. No demographic or clinical factors appear to predict the likelihood of RP in patients with CF. Sweat chloride testing for patients with RP has a low yield in the era of newborn screening but may still need to be considered in children with RP to avoid missing the rare child with CF.
建议对直肠脱垂(RP)患者进行囊性纤维化(CF)筛查。在CF新生儿筛查时代,关于CF与RP之间的关联知之甚少。我们的回顾性研究表明,3.6%的RP患者患有CF,3.5%的CF患者患有RP。没有人口统计学或临床因素似乎能预测CF患者发生RP的可能性。在新生儿筛查时代,对RP患者进行汗液氯化物检测的阳性率较低,但对于RP儿童可能仍需考虑进行检测,以避免漏诊罕见的CF患儿。