Alonso-Bermejo Claudia, Barrio Josefa, Fernández Beatriz, García-Ochoa Elena, Santos Almudena, Herreros Marta, Pérez Cristina
Servicio de Pediatría, Unidad de Gastroenterología Pediátrica, Hospital Universitario de Fuenlabrada, Fuenlabrada, Madrid, Spain.
Servicio de Pediatría, Unidad de Gastroenterología Pediátrica, Hospital Universitario de Fuenlabrada, Fuenlabrada, Madrid, Spain.
An Pediatr (Engl Ed). 2022 May;96(5):441-447. doi: 10.1016/j.anpede.2021.05.013. Epub 2022 May 6.
INTRODUCTION: Functional gastrointestinal disorders (FGIDs) are a very common pediatric disease, with strong implications for children and their families. We aimed to determine their frequency in our environment (per Rome IV criteria) and to establish if there is seasonal variability in diagnosis. METHODS: Descriptive, prospective study. For 12 months, children under 16 years of age with suspected FGIDs who had a first pediatric gastroenterology consultation were included and classified according to Rome IV criteria. Statistical analysis was done with SPSS v22. RESULTS: 574 children received consultations, 67% were >4 years of age. FGIDs were suspected in 44.6% of the patients, 32.4% were diagnosed according to Rome IV criteria (16.4% <4 years, 40.3% >4 years). 51.1% were female, average age of 8.4 ± 4.2 years and mean of 7 months of symptoms until diagnosis (range 3-150). In patients <4 years, the most common disorders were functional constipation (48.4%), regurgitation (22.5%) and functional diarrhea (16.1%); in patients >4 years of age, functional abdominal pain (29%), functional dyspepsia (28.4%) and functional constipation (16.8%) were most frequent. We didn't discern seasonal variations in diagnosis in the global study population (p = 0.96) or by age group (<4 p = 0.51; >4 p = 0.57). CONCLUSIONS: FGIDs account for one third of our patients' consultations. While the Rome IV criteria are more inclusive than before, almost 30% of patients with suspected FGIDs don't meet said criteria. Although a seasonal difference regarding diagnosis was observed, it wasn't statistically significant either in the sample group as a whole or by age group.
引言：功能性胃肠病（FGIDs）是一种非常常见的儿科疾病，对儿童及其家庭有重大影响。我们旨在确定其在我们环境中的发病率（根据罗马IV标准），并确定诊断是否存在季节性变化。 方法：描述性前瞻性研究。在12个月内，纳入16岁以下疑似FGIDs且首次接受儿科胃肠病咨询的儿童，并根据罗马IV标准进行分类。使用SPSS v22进行统计分析。 结果：574名儿童接受了咨询，67%年龄大于4岁。44.6%的患者疑似FGIDs，32.4%根据罗马IV标准确诊（16.4%年龄小于4岁，40.3%年龄大于4岁）。51.1%为女性，平均年龄8.4±4.2岁，症状出现至诊断的平均时间为7个月（范围3 - 150个月）。在4岁以下患者中，最常见的疾病是功能性便秘（48.4%）、反流（22.5%）和功能性腹泻（16.1%）；在4岁以上患者中，功能性腹痛（29%）、功能性消化不良（28.4%）和功能性便秘（16.8%）最为常见。在总体研究人群中（p = 0.96）或按年龄组（<4岁，p = 0.51；>4岁，p = 0.57），我们未发现诊断存在季节性变化。 结论：FGIDs占我们患者咨询病例的三分之一。虽然罗马IV标准比以前更具包容性，但几乎30%的疑似FGIDs患者不符合该标准。尽管观察到诊断存在季节性差异，但在整个样本组或按年龄组来看，差异均无统计学意义。
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