Section of Pediatric Gastroenterology, Hepatology and Nutrition, Pediatric Gastroenterology and Hepatology, Neurogastroenterology and Motility Center, Yale School of Medicine, Yale University School of Medicine, Yale New Haven Children's Hospital, 333 Cedar Street, LMP 4093, PO Box 208064, New Haven, CT 06520, USA.
Section of Pediatric Gastroenterology, Hepatology and Nutrition, Pediatric Gastroenterology and Hepatology, Neurogastroenterology and Motility Center, Yale School of Medicine, Yale University School of Medicine, Yale New Haven Children's Hospital, 333 Cedar Street, LMP 4093, PO Box 208064, New Haven, CT 06520, USA.
Pediatr Clin North Am. 2021 Dec;68(6):1255-1271. doi: 10.1016/j.pcl.2021.07.010.
Functional and motility gastrointestinal disorders are the most common complaints to the pediatric gastroenterologist. Disorders affecting the small intestine carry a significant morbidity and mortality due to the severe limitation of therapeutic interventions available and the complications associated with such interventions. Congenital colorectal disorders are rare but also carry significant morbidity and poor quality of life plus the social stigma associated with its complications. In this review, we summarize the clinical presentation, diagnostic evaluations, and the therapeutic interventions available for the most common and severe gastrointestinal functional and motility disorders of the small bowel, colon, and anorectum.
功能性和运动性胃肠道疾病是儿科胃肠病学家最常见的投诉。由于可用的治疗干预措施的严重限制以及与这些干预措施相关的并发症,影响小肠的疾病会带来显著的发病率和死亡率。先天性结直肠疾病虽然罕见,但也会带来显著的发病率和较差的生活质量,以及与其并发症相关的社会耻辱感。在这篇综述中,我们总结了最常见和最严重的小肠、结肠和肛门直肠功能性和运动性胃肠道疾病的临床表现、诊断评估和治疗干预措施。