Czerwionka-Szaflarska Mieczysława, Łoś-Rycharska Ewa, Gawryjołek Julia
Department of Paediatrics, Allergology, and Gastroenterology, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Poland.
Prz Gastroenterol. 2017;12(1):1-5. doi: 10.5114/pg.2017.65677. Epub 2017 Jan 31.
The gastrointestinal form of food allergy is very common in children. The most frequently observed types are allergic proctitis and proctocolitis. In most cases the symptoms subside within the first 2 months of life. The babies seem healthy, and the only abnormality is a small amount of blood in stool. Symptoms can also include small intestine inflammation and colitis. Patients may present with irritability, abdominal pain, flatulence, colic, postprandial vomiting, chronic diarrhoea, and hindered physical development. The diagnosis of allergic enteritis is based on the clinical examination and the results of additional tests including an endoscopy of the lower digestive tract with histopathological assessment. Cow's milk proteins are the most common nutrition proteins responsible for the development of the symptoms of allergic enteritis. The most essential method of treating allergic enteritis is the elimination diet. The symptoms should subside within 1-2 weeks from the beginning of the diet.
食物过敏的胃肠道形式在儿童中非常常见。最常观察到的类型是过敏性直肠炎和直肠结肠炎。在大多数情况下,症状会在出生后的头2个月内消退。婴儿看起来很健康,唯一的异常是大便中有少量血液。症状还可能包括小肠炎症和结肠炎。患者可能表现出易怒、腹痛、肠胃胀气、绞痛、餐后呕吐、慢性腹泻以及身体发育受阻。过敏性肠炎的诊断基于临床检查以及包括下消化道内窥镜检查和组织病理学评估在内的其他检查结果。牛奶蛋白是导致过敏性肠炎症状的最常见营养蛋白。治疗过敏性肠炎的最基本方法是饮食排除法。从饮食开始后的1 - 2周内症状应会消退。