Cyclic vomiting syndrome in children: a nationwide survey of current practice on behalf of the Italian Society of Pediatric Gastroenterology, Hepatology and Nutrition (SIGENP) and Italian Society of Pediatric Neurology (SINP)
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Published:2022-08-30
Issue:1
Volume:48
Page:
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ISSN:1824-7288
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Container-title:Italian Journal of Pediatrics
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language:en
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Short-container-title:Ital J Pediatr
Author:
Isoldi Sara, Di Nardo Giovanni, Mallardo Saverio, Parisi PasqualeORCID, Raucci Umberto, Tambucci Renato, Quitadamo Paolo, Salvatore Silvia, Felici Enrico, Cisarò Fabio, Pensabene Licia, Banzato Claudia, Strisciuglio Caterina, Romano Claudio, Fusco Patrizia, Rigotti Francesca, Sansotta Naire, Caimmi Silvia, Savasta Salvatore, Zuin Giovanna, Di Stefano Marina, Provera Silvia, Campanozzi Angelo, Rossi Paolo, Gatti Simona, Corpino Mara, Alvisi Patrizia, Martelossi Stefano, Suppiej Agnese, Gandullia Paolo, Verrotti Alberto, Terrin Gianluca, Pacenza Caterina, Fornaroli Fabiola, Comito Donatella, D’Arrigo Stefano, Striano Pasquale, Raviglione Federico, Carotenuto Marco, Orsini Alessandro, Belcastro Vincenzo, Di Corcia Giovanna, Raieli Vincenzo, Ferilli Michela Ada Noris, Ruscitto Claudia, Spadoni Elisabetta, Grosso Salvatore, D’Alonzo Renato, Papa Amanda, Pavone Piero, Meli Mariaclaudia, Velardita Mario, Mainetti Martina, Vanacore Nicola, Borrelli Osvaldo
Abstract
Abstract
Background
Cyclic Vomiting Syndrome (CVS) is a rare functional gastrointestinal disorder, which has a considerable burden on quality of life of both children and their family. Aim of the study was to evaluate the diagnostic modalities and therapeutic approach to CVS among Italian tertiary care centers and the differences according to subspecialties, as well as to explore whether potential predictive factors associated with either a poor outcome or a response to a specific treatment.
Methods
Cross-sectional multicenter web-based survey involving members of the Italian Society of Pediatric Gastroenterology, Hepatology and Nutrition (SIGENP) and Italian Society of Pediatric Neurology (SINP).
Results
A total of 67 responses were received and analyzed. Most of the respondent units cared for less than 20 patients. More than half of the patients were referred after 3 to 5 episodes, and a quarter after 5 attacks. We report different diagnostic approaches among Italian clinicians, which was particularly evident when comparing gastroenterologists and neurologists. Moreover, our survey demonstrated a predilection of certain drugs during emetic phase according to specific clinic, which reflects the cultural background of physicians.
Conclusion
In conclusion, our survey highlights poor consensus amongst clinicians in our country in the diagnosis and the management of children with CVS, raising the need for a national consensus guideline in order to standardize the practice.
Publisher
Springer Science and Business Media LLC
Reference37 articles.
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1. Advances for pediatricians in 2022: allergy, anesthesiology, cardiology, dermatology, endocrinology, gastroenterology, genetics, global health, infectious diseases, metabolism, neonatology, neurology, oncology, pulmonology;Italian Journal of Pediatrics;2023-09-08 2. Association of Anxiety and Gastrointestinal Comorbidities in Repeat Hospital Admissions in Pediatric Cyclic Vomiting Syndrome;American Journal of Gastroenterology;2023-04-12
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