Aiman Shah, Kundal Bharti, Chopra Gurika
Department of Gastroenterology, Adesh Institute of Medical Sciences and Research, Bathinda, Punjab, India.
Saudi J Med Med Sci. 2016 Jan-Apr;4(1):45-46. doi: 10.4103/1658-631X.170895. Epub 2015 Dec 2.
Cyclic vomiting syndrome (CVS) consists of recurrent paroxysms of severe nausea and vomiting separated by symptom-free periods. A 12-year-old boy presented with recurrent vomiting over a period of 3 years. Episodes occurred over a period of 6 months, and the patient remained normal for next 6 months. About 8 such episodes occurred in the last 6 months. Physical and neurological examinations were normal. All routine investigations were normal. He was started on cognitive behavioral therapy and cyproheptadine and improved gradually. CVS is considered a functional brain-gut disorder and is characterized by recurrent, sudden, stereotypical, disabling, discrete episodes of intense nausea and vomiting that can last a few hours to days interspersed with varying weeks of symptom-free intervals. Integrated treatment combining pharmacological, psychotherapeutic, psycho-educational and lifestyle aspects as well as family therapy provides the best chances of successful treatment.
周期性呕吐综合征（CVS）表现为严重恶心和呕吐的反复发作，发作间期无症状。一名12岁男孩在3年时间里反复出现呕吐。发作持续6个月，之后患者在接下来的6个月内保持正常。在过去6个月中大约发生了8次这样的发作。体格检查和神经系统检查均正常。所有常规检查也都正常。他开始接受认知行为疗法和赛庚啶治疗，并逐渐好转。CVS被认为是一种功能性脑肠疾病，其特征是反复、突然、刻板、致残性的剧烈恶心和呕吐发作，可持续数小时至数天，其间穿插着不同周数的无症状间歇期。综合药物治疗、心理治疗、心理教育、生活方式以及家庭治疗等方面的综合治疗提供了成功治疗的最佳机会。
