Functional Disorders of Digestive System in Children. Guidelines of Society of Pediatric Gastroenterology, Hepatology and Nutrition. Part 3
https://doi.org/10.21508/1027-4065-2020-65-6-133-144
Abstract
The clinical guidelines for the diagnosis and treatment of the3 functional disorders of the digestive system in children were prepared by a Group of Experts, domestic leading specialists in the field of the pediatric gastroenterology, who generalized the foreign guidelines and domestic experience, suggesting the tactics for the pediatrician actions in the everyday practice. Part 3 of the Guidelines discusses the billiard tract dysfunctions and functional constipations. There are no biliary tract dysfunctions in the Pediatric Sections of Rome Consensus IV; however, the Russian pediatric school of thought has always considered them as important in terms of one of the causes for abdominal pain in children. This attitude was supported by the experts, and it is maintained in these Guidelines. The functional constipations are common in the children of different ages, and they present not only a medical problem, but also a serious social one for both children and their parents. That is why the considerable attention has been paid to this pathology considering the psychosocial aspects of the correction.
About the Authors
S. V. BelmerRussian Federation
Moscow
G. V. Volynets
Russian Federation
Moscow
A. V. Gorelov
Russian Federation
Moscow
M. M. Gurova
Russian Federation
St. Petersburg
Belgorod
A. A. Zvyagin
Russian Federation
Voronezh
E. A. Kornienko
Russian Federation
St. Petersburg
V. P. Novikova
Russian Federation
St. Petersburg
D. V. Pechkurov
Russian Federation
Samara
V. F. Privorotskiy
Russian Federation
St. Petersburg
A. A. Tyazheva
Russian Federation
Samara
R. A. Faizullina
Russian Federation
Kazan
A. I. Khavkin
Russian Federation
Moscow
S. I. Erdes
Russian Federation
Moscow
References
1. Бельмер С.В., Хавкин А.И., Печкуров Д.В. Функциональные нарушения органов пищеварения у детей. Принципы диагностики и лечения (в свете Римских критериев IV). М.: ГЭОТАР-Медиа, 2017; 160. [Belmer S.V., Havkin A.I., Pechkurov D.V. Functional disorders of the digestive system in children. Diagnostic and Treatment Principles (in the Light of Rome IV Criteria). Moscow: GEOTAR-Media, 2017; 160. (in Russ.)]
2. Drossman D.A., Hasler W.L. Rome IV – Functional GI disorders: disorders of gut-brain interaction. Gastroenterol 2016; 150(6): 1257–1261. DOI: 10.1053/j.gastro.2016.03.035
3. Ивашкин В.Т., Маев И.В., Шульпекова Ю.О., Баранская Е.К., Охлобыстин А.В., Трухманов А.С. и др. Клинические рекомендации Российской гастроэнтерологической ассоциации по диагностике и лечению дискинезии желчевыводящих путей. Российский журнал гастроэнтерологии, гепатологии, колопроктологии 2018; 28(3): 63–80. DOI: 10.22416/1382-4376-2018-28-3-63-80 [Ivashkin V.T., Maev I.V., Shul’pekova Yu.O., Baranskaya E.K., Ohlobystin A.V., Truhmanov A.S. et al. Clinical guidelines of the Russian Gastroenterological Association for the diagnosis and treatment of biliary dyskinesia. Rossiiskii zhurnal gastroenterologii, gepatologii, koloproktologii 2018; 28(3): 63–80. (in Russ.)]
4. Santucci N.R., Hyman P.E., Harmon C.M. Biliary Dyskinesia in Children: A Systematic Review JPGN. 2017; 64(2): 186– 193. DOI: 10.1097/MPG.0000000000001357
5. Волынец Г. В., Хавкин А.И. Дисфункции билиарного тракта у детей. Медицинский оппонент 2018; 1(3): 59–64. [Volynec G.V., Havkin A.I. Biliary tract dysfunctions in children. Meditsinskij opponent 2018; 1(3): 59–64. (in Russ.)]
6. Печкуров Д.В., Щербаков П.Л., Каганова Т.И. Синдром диспепсии у детей. М.: МЕДПРАКТИКА-М, 2007; 144. [Pechkurov D.V., Shcherbakov P.L., Kaganova T.I. Dyspepsia syndrome in children. Moscow: MEDPRAKTIKA-M, 2007; 144. (in Russ.)]
7. Приворотский В.Ф., Луппова Н.Е., Румянцева И.В. Болезни билиарного тракта у детей (этиопатогенез, клиника, диагностика, лечение). Учебное пособие. СПб: Коста, 2015; 101. [Privorotskij V.F., Luppova N.E., Rumyanceva I.V. Diseases of the biliary tract in children (etiopathogenesis, clinical picture, diagnosis, treatment). Textbook. SPb: Kosta, 2015; 101. (in Russ.)]
8. Детская гастроэнтерология. Под ред. Н.П. Шабалова. М.: Медпресс-информ, 2019; 240–250. [Pediatric gastroenterology. N.P. Shabalov (ed.). Moscow: Medpress-inform, 2019; 240–250. (in Russ.)]
9. Amaral J., Xiao Z.L., Chen Q, Yu P., Biancani P., Behar J. Gallbladder muscle dysfunction in patients with chronic acalculous disease. Gastroenterol 2001; 120: 506–511. DOI: 10.1053/gast.2001.21190
10. Sharma B.C., Agarwal D.K., Dhiman R.K, Baijal S.S., Choudhuri G., Saraswat V.A. Bile lithogenicity and gallbladder emptying in patients with microlithiasis: effect of bile acid therapy. Gastroenterol 1998; 115: 124–128. DOI: 10.1016/s0016-5085(98)70373-7
11. Pasricha P.J. Unraveling the mystery of pain in chronic pancreatitis. Nat Rev Gastroenterol Hepatol 2012; 9: 140–151. DOI: 10.1038/nrgastro.2011.274
12. Li C., Zhu Y., Shenoy M., Pai R., Liu L., Pasricha P.J. Anatomical and functional characterization of a duodeno-pancreatic neural reflex that can induce acute pancreatitis. Am J Physiol Gastrointest Liver Physiol 2013; 304: G490–G500. DOI: 10.1152/ajpgi.00012.2012
13. Cotton Р.В., Elta G.H., Carter C.R., Pasricha P.J., Corazziari E.S. Gallbladder and Sphincter of Oddi Disorders. J Gastroenterol 2016; 150(6): 1420–1429. DOI: 10.1053/j.gastro.2016.02.033
14. Ruffolo T.A., Sherman S., Lehman G.A., Hawes R.H. Gallbladder ejection fraction and its relationship to sphincter of Oddi dysfunction. Dig Dis Sci 1994; 39: 289–292. DOI: 10.1007/BF02090199
15. Sood G.K., Baijal S.S., Lahoti D., Broor S.L. Abnormal gallbladder function in patients with irritable bowel syndrome. Am J Gastroenterol 1993; 88: 1387–1390
16. Pozo M.J., Camello P.J., Mawe G.M. Chemical mediators of gallbladder dysmotility. Curr Med Chem 2004; 11: 1801– 1812 DOI: 10.2174/0929867043364955.
17. Alcon S., Morales S., Camello P.J., Pozo M.J. Contribution of different phospholipases and arachidonic acid metabolites in the response of gallbladder smooth muscle to cholecystokinin. Biochem Pharmacol 2002; 64: 1157–1167. DOI: 10.1016/s0006-2952(02)01259-5
18. Akshintala V.S., Hutfless S.M., Colantuoni E., Kim K.J., Khashab M.A., Li T. et al. Systematic review with network meta-analysis: pharmacologica prophylaxis against post-ERCP pancreatitis. Aliment Pharmacol Ther 2013; 38:1325–1337. DOI: 10.1111/apt.12534
19. Johnson J.J., Garwe T., Katseres N., Tuggle D.W. Preoperative symptom duration predicts success in relieving abdominal pain caused by biliary dyskinesia in a pediatric population. J Pediatr Surg 2013; 48: 796–800. DOI: 10.1016/j.jpedsurg.2012.10.047
20. Carney D.E., Kokoska E.R., Grosfeld J.L., Engum S.A., Rouse T.M., West K.M. et al. Predictors of successful outcome after cholecystectomy for biliary dyskinesia. J Pediatr Surg 2004; 39: 813–816. DOI: 10.1016/j.jpedsurg.2004.02.017
21. Vegunta R.K., Raso M., Pollock J., Misra S., Wallace L.J., Torres A. Jr, Pearl R.H. Biliary dyskinesia: the most common indication for cholecystectomy in children. Surgery 2005; 138: 726–733. DOI: 10.1016/j.surg.2005.06.052
22. Mugie S., Benninga M. A., Di Lorenzo C. Epidemiology of constipation in children and adults: a systematic review. Best practice & research. Clin Gastroenterol 2011; 25(1): 3–18. DOI: 10.1016/j.bpg.2010.12.010
23. Loening-Baucke V. Encopresis and soiling. Pediatr Clin North Am 1996; 43(1):279–98. DOI: 10.1016/s0031-3955(05)70406-5
24. Longstreth G.F., Thompson W.G., Chey W.D., Houghton L.A., Mearin F., Spiller R.C. Functional bowel disorders. Gastroenterol 2006; 130(5): 1480–1491. DOI: 10.1053/j.gastro.2005.11.061
25. Rao S.S., Ozturk R., Laine L. Clinical utility of diagnostic tests for constipation in adults: a systematic review. Am J Gastroenterol 2005; 100(7): 1605–1615. DOI: 10.1111/j.1572-0241.2005.41845.x
26. Huang R., Ho S.Y., Lo W.S., Lam T.H. Physical activity and constipation in Hong Kong adolescents. Plos One 2014; 9(2): e901–903. DOI: 10.1371/journal.pone.0090193
27. Robin S.G., Keller C., Zwiener R., Hyman P.E., Nurko S., Saps M. et al. Prevalence of pediatric functional gastrointestinal disorders utilizing the Rome IV criteria. J Pediatr 2018; 195: 134–139. DOI: 10.1016/j.jpeds.2017.12.012
28. Хавкин А.И., Файзуллина Р.А., Бельмер С.В., Горелов А.В., Захарова И.Н., Звягин А.А. и др. Диагностика и тактика ведения детей с функциональными запорами (Рекомендации общества детских гастроэнтерологов). Вопросы детской диетологии 2014; 12(4): 49–65. [Havkin A.I., Fajzullina R.A., Bel’mer S.V., Gorelov A.V., Zaharova I.N., Zvyagin A.A. et al. Diagnostics and management of children with functional constipation (Recommendations of the Society of Pediatric Gastroenterologists). Voprosy detskoi dietologii 2014; 12(4): 49–65. (in Russ.)]
29. Vandenplas Y., Benninga M., Broekaert I., Falconer J., Gottrand F., Guarino A. et al. Functional gastro‐intestinal disorder algorithms focus on early recognition, parental reassurance and nutritional strategies. Acta Paediatrica 2016; 105(3): 244–252. DOI: 10.1111/apa.13270
30. Хавкин А.И. Коррекция функциональных запоров у детей. Российский вестник перинатологии и педиатрии 2012; 4(1): 127–130. [Khavkin A.I. Correction of functional constipation in children. Rossiyskiy vestnik perinatologii i pediatrii (Russian Bulletin of Perinatology and Pediatrics) 2012; 4(1): 127–130. (in Russ.)]
31. Hyman P.E., Milla P.J., Benninga M.A., Davidson G.P., Fleisher D.F., Taminiau J. Childhood functional gastrointestinal disorders: neonate/toddler. Gastroenterol 2006; 130(5):1519–26. DOI: 10.1053/j.gastro.2005.11.065
32. Rasquin A., Di Lorenzo C., Forbes D., Guiraldes E., Hyams J.S., Staiano A. et al. Childhood functional gastrointestinal disorders: child/adolescent. Gastroenterol 2006; 130(5):1527–37. DOI: 10.1053/j.gastro.2005.08.063
33. Andrews C.N., Storr M. The pathophysiology of chronic constipation. Can J Gastroenterol 2011; 25 Suppl B:16B–21B.
Review
For citations:
Belmer S.V., Volynets G.V., Gorelov A.V., Gurova M.M., Zvyagin A.A., Kornienko E.A., Novikova V.P., Pechkurov D.V., Privorotskiy V.F., Tyazheva A.A., Faizullina R.A., Khavkin A.I., Erdes S.I. Functional Disorders of Digestive System in Children. Guidelines of Society of Pediatric Gastroenterology, Hepatology and Nutrition. Part 3. Rossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics). 2020;65(6):133-144. (In Russ.) https://doi.org/10.21508/1027-4065-2020-65-6-133-144