Division of Pediatric Gastroenterology, Hepatology and Nutrition, Morgan Stanley Children's Hospital, Columbia University Irving Medical Center, 3959 Braodway CHN7, New York, NY 10032, USA.
Section of Pediatric Gastroenterology, Hepatology and Nutrition, Yale New Haven Children's Hospital, Yale University School of Medicine, 333 Cedar Street, LMP 4093, New Haven, CT 06510, USA.
Pediatr Clin North Am. 2021 Dec;68(6):1237-1253. doi: 10.1016/j.pcl.2021.07.009.
Children with disorders affecting the sensory and motor functions of the esophagus will present primarily with swallowing dysfunction, dysphagia, and chest pain, and those with disorders affecting the normal function of the stomach will present with symptoms like abdominal pain, nausea, and vomiting. Recent advances in the mechanisms of disease and technology have increased our understanding of gastrointestinal physiology and that knowledge has been applied to develop new diagnostic studies and therapeutic interventions. We present an overview of the clinical presentation, diagnosis, and treatment of common primary and secondary functional and motility disorders affecting the upper gastrointestinal tract in children.
患有影响食管感觉和运动功能障碍的儿童主要表现为吞咽功能障碍、吞咽困难和胸痛,而患有影响胃正常功能障碍的儿童则表现为腹痛、恶心和呕吐等症状。疾病机制和技术的最新进展增加了我们对胃肠道生理学的理解,这些知识已被应用于开发新的诊断研究和治疗干预措施。我们介绍了常见的原发性和继发性影响儿童上消化道的功能性和运动障碍的临床表现、诊断和治疗概述。