DiLorenzo C, Hyman P E
University of Pittsburgh, Pennsylvania, USA.
Gastroenterol Clin North Am. 1996 Mar;25(1):203-24. doi: 10.1016/s0889-8553(05)70372-1.
Caring for children with gastrointestinal motility disorders requires an understanding of age-related changes in gastrointestinal function and in the clinical expression of disease. Successful evaluation of the child with a gastrointestinal motility disorder necessitates an approach that takes into account not only the child's symptoms, but also the stage of development. This article reviews the ontogeny of gastrointestinal motility; the techniques available for the study of gastrointestinal motility in children; and the presentation, pathophysiology, and treatment of pediatric functional bowel diseases. Differences in children compared to adults in performing and analyzing motility testing and in evaluating motility disorders are emphasized. A more complete understanding of pediatric motility disorders may provide important insights in approaching functional bowel diseases in adults.
照顾患有胃肠动力障碍的儿童需要了解胃肠功能以及疾病临床表现中与年龄相关的变化。要成功评估患有胃肠动力障碍的儿童,不仅需要考虑儿童的症状,还需考虑其发育阶段。本文回顾了胃肠动力的个体发生;可用于研究儿童胃肠动力的技术;以及儿童功能性肠病的表现、病理生理学和治疗方法。文中强调了儿童与成人在进行和分析动力测试以及评估动力障碍方面的差异。对儿童动力障碍更全面的理解可能为处理成人功能性肠病提供重要的见解。