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儿童功能性腹泻。

Functional Diarrhea in Children.

机构信息

Department of Pediatrics, Faculty of Medicine, University of Colombo, Kynsey Road, Colombo-8, Sri Lanka.

University Pediatric Unit, Lady Ridgeway Hospital for Children, Dr. Danister de Silva Road, Colombo-8, Sri Lanka.

出版信息

Indian J Pediatr. 2024 Jun;91(6):584-589. doi: 10.1007/s12098-023-04730-6. Epub 2023 Jul 29.

Abstract

Functional diarrhea in children is a disease that has been focused on by both general pediatricians as well as pediatric gastroenterologists across the world. Although it is seen across the pediatric age group from late infancy to adolescence, most still believe that functional diarrhea only occurs in younger children. Recent epidemiological studies have shown that functional diarrhea is prevalent in all subcontinents. The classic clinical features include chronic loose stools with undigested food particles without growth faltering. Although known for long years, pathophysiological mechanisms and therapeutic options are not well explored, and the existing literature is outdated. In this article, authors review the available literature on functional diarrhea, with a reminder that a fresh look is needed to broaden the horizons of understanding of this disease.

摘要

儿童功能性腹泻是一个受到全世界儿科医生和小儿胃肠病学家关注的疾病。虽然它可见于从婴儿后期到青春期的所有儿科年龄段,但大多数人仍然认为功能性腹泻仅发生在年幼的儿童中。最近的流行病学研究表明,功能性腹泻在所有大洲都很普遍。其典型的临床特征包括慢性稀便,伴有未消化的食物颗粒,而无生长迟缓。尽管它已被认识多年,但病理生理机制和治疗选择尚未得到很好的探索,现有的文献也已经过时。在本文中,作者回顾了有关功能性腹泻的现有文献,并提醒需要重新审视,以拓宽对这种疾病的理解。

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