Les enfants avaleurs d’air

Lecine, T; Michaud, Laurent; Gottrand, F.; Launay, V.; Fauré, Christophe; Bonnevalle, M.; Vaudour, G; Turck, Dominique

doi:10.1016/s0929-693x(98)81240-2

Cited by 8 publications

(5 citation statements)

References 5 publications

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“…Those patients are frequently unable to burp and rectal fecal masses limit the elimination of flatus. Only our patient and two others reported cases 3 , 4 have been previously submitted to fundoplications, which may have exaggerated their pathological aerophagia, due to the impossibility of burping and belching. Most patients with pathological aerophagia are school-aged children and adolescents.…”

Section: Discussionmentioning

confidence: 70%

“…Esses pacientes são frequentemente incapazes de arrotar e massas fecais retais limitam a eliminação de flatos. Somente a nossa paciente e outros dois casos relatados 3 , 4 foram previamente submetidos a fundoplicaturas, o que pode ter aumentado a aerofagia patológica, devido à impossibilidade de arrotar. A maioria dos pacientes com aerofagia patológica é de crianças e adolescentes em idade escolar.…”

Section: Discussionunclassified

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Aerofagia patológica: uma causa rara de distensão abdominal crônica

Jesus

Cestari

Filho

et al. 2015

Revista Paulista de Pediatria

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Objective:To describe an adolescent with pathologic aerophagia, a rare condition caused by excessive and inappropriate swallowing of air and to review its treatment and differential diagnoses.Case description:An 11-year-old mentally impaired blind girl presenting serious behavior problems and severe developmental delay with abdominal distension from the last 8 months. Her past history included a Nissen fundoplication. Abdominal CT and abdominal radiographs showed diffuse gas distension of the small bowel and colon. Hirschsprung's disease was excluded. The distention was minimal at the moment the child awoke and maximal at evening, and persisted after control of constipation. Audible repetitive and frequent movements of air swallowing were observed. The diagnosis of pathologic aerophagia associated to obsessive-compulsive disorder and developmental delay was made, but pharmacological treatment was unsuccessful. The patient was submitted to an endoscopic gastrostomy, permanently opened and elevated relative to the stomach. The distention was resolved, while maintaining oral nutrition.Comments:Pathologic aerophagia is a rare self-limiting condition in normal children exposed to high levels of stress and may be a persisting problem in children with psychiatric or neurologic disease. In this last group, the disease may cause serious complications. Pharmacological and behavioral treatments are ill-defined. Severe cases may demand surgical strategies, mainly decompressive gastrostomy.

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Section: Discussionmentioning

confidence: 70%

Section: Discussionunclassified

Aerofagia patológica: uma causa rara de distensão abdominal crônica

Jesus

Cestari

Filho

et al. 2015

Revista Paulista de Pediatria

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“…The resulting gastric dilatation may lead to a stomach necrosis and perforation. Aerophagia in association with mental illnesses constitutes 25% of all PA cases, particularly in patients with mental impairment, autism, and Rett syndrome (18). According to the Rome criteria, the diagnosis of PA is established in cases where abdominal distension and/or repetitive flatulence/belching, caused by air swallowing, presents for more than 12 weeks in a year (19).…”

Section: Discussionmentioning

confidence: 99%

Gastric Necrosis and Perforation Following Massive Gastric Dilatation in an Adolescent Girl: A Rare Cause of Acute Abdomen

et al. 2019

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Gastric necrosis with perforation is a rare and potentially life-threatening condition in childhood beyond the neonatal period. We report a case of gastric necrosis and perforation of a portion of the great curvature due to a massive gastric dilatation caused by pathological aerophagia in a 13-years-old, mentally impaired adolescent girl. Despite the successful surgical treatment, the patient's condition rapidly deteriorated post-operatively and she died due to the multisystem organ failure and multiple infections. In addition, we surveyed the literature on this rare condition and assessed the preventive actions to reduce this life-treating condition.

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“…Very few articles have been written about aerophagia (eructio nervosa) in childhood (1–5). Recently, Rasquin‐Weber et al (9) and Hyman et al (10) published the Rome II criteria for aerophagia.…”

Section: Discussionmentioning

confidence: 99%

“…Resolution of the abdominal distension occurs during the night by absorption of gas and by flatulence. Although aerophagia in childhood is rarely discussed in the literature, it is a common disorder seen by adult gastroenterologists (1–5). We present a 32‐month‐old toddler with a long history of functional constipation in whom gaseous abdominal distension suddenly developed.…”

mentioning

confidence: 99%

Aerophagia as Cause of Gaseous Abdominal Distention in a Toddler

Loening–Baucke

2000

J. pediatr. gastroenterol. nutr.

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Les enfants avaleurs d’air

Cited by 8 publications

References 5 publications

Aerofagia patológica: uma causa rara de distensão abdominal crônica

Aerofagia patológica: uma causa rara de distensão abdominal crônica

Gastric Necrosis and Perforation Following Massive Gastric Dilatation in an Adolescent Girl: A Rare Cause of Acute Abdomen

Aerophagia as Cause of Gaseous Abdominal Distention in a Toddler

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