Reinhart J B
Psychiatr Clin North Am. 1982 Aug;5(2):387-97.
Disorders of the gastrointestinal tract are common in children. Fortunately, many are short-lived, related to infection, food intolerance, or specific etiology. Those that persist or recur require greater attention on the part of the physician and can require psychiatric consultation. The frequency of consultation will depend in large part on the psychosocial sophistication and philosophy of care of the referring physician. When consulted, the child psychiatrist can complement the medical care by examination in greater detail of the psychosocial environment of the child, the family, and by psychiatric evaluation of the child. Formulation of these factors may then point the way to more helpful management of the child and treatment. The most serious problems, such as regional ileitis and ulcerative colitis, require not only collaboration of pediatricians and child psychiatrist, but surgeons as well if patients are to receive optimum care.
胃肠道疾病在儿童中很常见。幸运的是，许多疾病是短暂的，与感染、食物不耐受或特定病因有关。那些持续存在或复发的疾病需要医生给予更多关注，可能还需要精神科会诊。会诊的频率在很大程度上取决于转诊医生的社会心理成熟度和护理理念。在接受会诊时，儿童精神科医生可以通过更详细地检查儿童及其家庭的社会心理环境以及对儿童进行精神科评估来补充医疗护理。对这些因素的分析随后可能为更有效的儿童管理和治疗指明方向。最严重的问题，如局限性回肠炎和溃疡性结肠炎，不仅需要儿科医生和儿童精神科医生的合作，而且如果患者要得到最佳护理，还需要外科医生的参与。
