Functional gastrointestinal disorders frequency by Rome IV criteria

Alonso-Bermejo, Claudia; Barrio, Josefa; Fernández, Beatriz; García-Ochoa, Elena; Santos, A. Dos; Herreros, Marta; Pérez, Cristina Tejera

doi:10.1016/j.anpede.2021.05.013

Cited by 7 publications

(5 citation statements)

References 8 publications

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“…FD was the second most common prevalent FGIDs among participants of the current study, where 5% of the recruited samples fulfilled the Rome IV criteria of FD. These findings support a previous study result, where the incidence of FD in children was between 3% and 27% ( 26 , 27 ). Altered visceral sensation, Helicobacter pylori infection, and gastrointestinal motor abnormalities have all been identified as major pathophysiological mechanisms for the development of FD ( 28 , 29 ).…”

Section: Disscusionsupporting

confidence: 93%

Testing the Arabic-Saudi Arabia version of the Rome IV Diagnostic Questionnaire for functional gastrointestinal disorders for Children living in Saudi Arabia

Khatib

Aljaaly

2023

Front. Pediatr.

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Functional gastrointestinal disorders (FGID) are a worldwide phenomenon described by painful, recurrent or chronic gastrointestinal (GI) symptoms. Variable types of FGID exist in a significant portion of children in Saudi Arabia (SA). While the studies and reports on child FGID are limited, the available ones show a notable significance of FGID in children in SA. The self-report Rome IV Diagnostic Questionnaire (DQ) globally recognizes the selection of symptom criteria and incidence thresholds. Using such a questionnaire would help clinicians provide a provisional diagnosis, serve as a case definition for epidemiological surveys, and identify inclusion criteria for clinical trials. This research aimed to pilot test the collective FGIDs prevalence among preschool children in Jeddah city and its countryside of Saudi Arabia, using Rome IV DQ in Arabic-SA. Of the 59 responses, 11.8% (n = 7), 5% (n = 3), 1 (1.6%), and 1 (1.6%) participants have functional dyspepsia, functional constipation, functional irritable bowel syndrome, and functional aerophagia, respectively according to the Rome IV criteria. The tested translated DQ in this study was the first translated version available in Arabic- SA, which could provide researchers and clinicians in SA with a diagnostic tool for FGIDs. However, because this study is a pilot study in a new field, the conclusions cannot be extrapolated to the demographic of the targeted population of children. The same researchers plan a larger study to use the current results and a larger calculated sample to assess FGIDs prevalence in children 4+ years old in Jeddah and its countryside, Saudi Arabia.

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Section: Disscusionsupporting

confidence: 93%

Testing the Arabic-Saudi Arabia version of the Rome IV Diagnostic Questionnaire for functional gastrointestinal disorders for Children living in Saudi Arabia

Khatib

Aljaaly

2023

Front. Pediatr.

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“…22 In another study conducted in Spain, 29% functional abdominal pain, 28.4% functional dyspepsia and 16.8% functional constipation were found in children over 4 years of age. 23 According to the results of a study evaluating the prevalence of FGID in children and adolescents, the most common FGID seen in both children and adolescents is functional constipation (14.1%). 24 The nding that functional constipation is the most common FGID in children and adolescents over the age of 4 years was consistent with the data of Robin et al, (2018).…”

Section: Discussionmentioning

confidence: 99%

Parents' Preferences for Herbal Supplements in Managing Functional Gastrointestinal Disorders

Bükülmez,

Köroğlu,

Baş

2024

Preprint

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Gastrointestinal diseases in children and adolescents lead to a considerable impairment of the quality of life of children and parents. Accordingly, there are considerable socio-economic consequences for the family and society. Parents concerned about their children may seek alternative treatments and opt for traditional herbal supplements. The aim of this study was to determine the utilisation status and variety of herbal supplements by parents of children with functional gastrointestinal disorders. 216 study participants were given a socio-demographic questionnaire, a diagnostic questionnaire based on the ROME-IV criteria and a questionnaire with 20 plant names used in traditional treatments. 33.3% of parents reported using "ginger" for their children who were infants and suffered from infantile regurgitation. The herb most preferred by parents for their children with functional gastrointestinal disorders in childhood and adolescence was "garden mint" (28.9%). 57.9% of the parents participating in the study stated that they preferred plants/herbal supplements for their children. In addition, 40% of the participants stated that they use the plants with the advice of the referral. As a result, it has been shown that parents tend to use plants or herbal supplements, that they need to be educated in the use of these supplements and that they need access to the right plant and to reliable supplements derived from the right plant.

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“…[11] This suggested that the problem in the patients included in the present study was not fecal impaction but rather a motility issue affecting all intestinal segments, similar to slow-transit constipation. [12,13] Thus, unlike previous studies, we calculated the rectosigmoid ratio by measuring the transverse diameters of the rectum and sigmoid colon using ultrasound in our study patients. [11] Consequently, it was found that the rectosigmoid index was <1 before treatment, but it showed signi cant improvement and increased to ≥1 after treatment.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Splanchnic Blood Flow Using Doppler Ultrasound Before and After Constipation Treatment in Patients with Bladder and Bowel Dysfunction

Gulcin,

Bozbeyoglu,

Canmemis

2024

Preprint

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Purpose: To evaluate the correlation between blood flow dynamics using conventional and Doppler ultrasound (US), and to assess the rectosigmoid ratio ultrasonographically in children with suspected bladder and bowel dysfunction (BBD). Methods: This prospective study was conducted between January 2023 and January 2024 involving 62 children aged 5–18 years. Ultrasound were used to measure peak systolic velocity (PSV), pulsatility index (PI), resistive index (RI) of arteries, and the rectosigmoid ratio (R/S). Behavioral therapy and osmotic laxative treatment were administered for 3 months, followed by reassessment. Results: Before treatment, the study group had a mean rectal diameter of 18 ± 15.5 mm, which increased to 23.5 ± 14.25 mm post-treatment (p = 0.008). The mean sigmoid colon diameter was 18.5 ± 10 mm before treatment and 18 ± 5 mm after treatment (p = 0.004). The rectosigmoid ratio (R/S) increased from 0.97 ± 0.76 to 1.27 ± 0.65 post-treatment (p = 0.036). No significant differences were found in the aortic, CA, and SMA flow velocities, PI, and RI between the groups or pre- and post-treatment within the study group. However, patients with an R/S index ≥1 had lower celiac PSV values compared to those with an R/S index <1 (p = 0.009). Conclusion: Doppler ultrasound evaluation of intestinal blood flow did not show significant clinical benefits, it may offer insights for future research. Noninvasive measurement of the rectosigmoid index is useful in diagnosing and planning treatment for constipation, especially in cases with diffuse motility problems rather than fecal impaction.

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Functional gastrointestinal disorders frequency by Rome IV criteria

Cited by 7 publications

References 8 publications

Testing the Arabic-Saudi Arabia version of the Rome IV Diagnostic Questionnaire for functional gastrointestinal disorders for Children living in Saudi Arabia

Testing the Arabic-Saudi Arabia version of the Rome IV Diagnostic Questionnaire for functional gastrointestinal disorders for Children living in Saudi Arabia

Parents' Preferences for Herbal Supplements in Managing Functional Gastrointestinal Disorders

Evaluation of Splanchnic Blood Flow Using Doppler Ultrasound Before and After Constipation Treatment in Patients with Bladder and Bowel Dysfunction

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