Problemi correnti
Tre regole per tre malattie: diarrea acuta, dolori addominali ricorrenti, celiachia
THREE THUMB RULES FOR THREE DISEASES: ACUTE DIARRHEA, RECURRENT ABDOMINAL PAIN, COELIAC DISEASE
ALESSANDRO VENTURA, IRENE BERTI, ALESSANDRO LENHARDT, ELENA FALESCHINI
Dipartimento di Scienze della Riproduzione e dello Sviluppo, Clinica Pediatrica, IRCCS “Burlo Garofolo”, Universitŕ di Trieste
Dicembre 2001 - pagg. 675 -682
Abstract
A gastroenterologist comments on three “thumb rules” for three common diseases. For acute
diarrhea: oral rehydration, early refeeding and no antibiotics. For recurrent abdominal
pain: “wait and see”, avoid searching for Helicobacter pylori and attempt making a positive
diagnosis. For coeliac disease: consider the diagnosis even if no typical symptoms are
present, use the best available test (hTTGA) and avoid postponing gluten introduction in the
infant’s diet.
Classificazione MeSH
Bibliografia
DIARREA ACUTA
1. Armon K, Stephenson T, Mac Faul R, et al. An evidence and consensus based guideline for acute diarrhoea management. Arch Dis Child 2001;85:132-42.
2. Murphy MS. Guidelines for managing acute gastroenteritis based on a systemic review of published research. Arch Dis Child 1998; 70:279-84.
3. AAA Provisional Committee on quality improvement Subcommittee on acute gastroenteritis. Practice parameter: The management of acute gastroenteritis in young children. Pediatrics 1966;97:424-36.
4. Gavin N, Merrik N, Davidson B. Efficacy of glucose based oral rehydration therapy. Pediatrics 1996;98:45-51.
5. Fontaine O. Multicentre evaluation of reduced- osmolarity oral rehydration salts solution. International Study Group on reduced osmolarity ORS solution. Lancet 1995; 345:282-5.
6. Gore SM, Fontaine O, Pierce NF. Impact of rice based oral rehydration solution on stool output and duration of diarrhoea: meta-analysis of 13 clinical trials. BMJ 1992; 304:287-91.
7. Ramakrishna BS, et al. Amylase-resistant starch plus oral rehydration solution for cholera. NEJM 2000;342(5):308-13.
8. Sandhu B, Isolauri E, Walker Ssmith J, et al. Early feeding in childhood gastroenteritis. A multicentre study on behalf of the European Society of Paediatric Gastroenterology and Nutrition working group on acute diarrhoea. J Pediatr Gastroenterol Nutr 1997; 24:522-7.
9. Faruque ASG, et al. Breast feeding and oral rehydration at home during diarrhoea to prevent dehydration. Arch Dis Child 1992; 67:1027-29.
10. Brown KH, et al. Use non human milk in the dietary management of young children with acute diarrhoea: a metanalysis of clinical trials. Pediatrics 1994;93:17-27.
11. Wong CS, Jelacic S, Habeeb RL, et al. The risk of the hemolytic-uremic syndrome after antibiotic treatment of E coli O157:H7 infections. N Engl J Med 2000;342:1930-6. DOLORI ADDOMINALI RICORRENTI
1. Macarthur C, Saunders N, Feldman W. Helicobacter pylori, gastroduodenal disease, and recurrent abdominal pain in children. JAMA 1995;273:729-34.
2. Franc F, Stricker T, Stallmach T, Braegger CP. Helicobacter pylori infection in recurrent abdominal pain. J Pediatr Gastroenterol Nutr 2000;31:424-7.
3. Ozen H, Dinler G, Akyon Y, et al. Helicobacter pylori infection and recurrent abdominal pain in Turkish children. Helicobacter 2001;6:234-8 .
4. Andreotti F, Baggiani A, Fusco F, et al. Searching for coeliac disease in general pediatric practice. Clinical Pediatrics 2001. In press.
5. Fitzpatrick KP, Sherman P, Ipp M, et al. J Pediatr Gastroenterol Nutr 2001;233:250-2.
6. Sanders D, Carter MJ, Hurlstone DP, et al. Association of adult coeliac disease with irritable bowel syndrome: a case-control study in patients fulfilling ROME II criteria referred to secondary care. Lancet 2001;358:1504-8.
7. Rasquin-Weber A, Hyman PE, Cucchiara S, Fleisher DR, Hymans JS, Milla PJ, Staiano AM. Childhood functional gastrointestinal disorders. Gut 1999; suppl 2:II60-8.
8. Holt R, Darnely S, Kennedy T, Jones R. Screening for coeliac disease in patients with clinical diagnosis of irritable bowel syndrome. Gastroenterology 2001;120(suppl):A757 (abstr 4064).
9. Martelossi S, Della Vedova R, Devetta M, e Gruppo di studio FVG. Celiac disease screening among symptomatic children and adults in Friuli-Venezia Giulia. Dig and Liver Dis 2001;33,638:A57. CELIACHIA
1. Maki M, Collin P. Coeliac Disease. Lancet 1997;349:1755-9.
2. Catassi C, Ratsch IM, Fabiani E, et al. Coeliac disease in the year 2000: exploring the iceberg. Lancet 1994;343:200-3.
3. Ventura A, Greco L, Magazzů G. Duration of exposure to gluten and risk for autoimmune disorders in patients with celiac disease. Gastroenterology 1999;117:297-303.
4. Kiren V, Not T, Tommasini A, et al. Human tissue transglutaminase ELISA: a powerfull diagnostic assay for screening of coeliac disease. J Pediatr Gastroenterol Nutr 2000;31 S(3):24.
5. Berti I, Horvath K, Green P, Sblattero D, Not T, et al. Prevalence of coeliac disease in USA. J Pediatr Gastroenterol Nutr 2000;31 S(2):276.
6. Catassi C, Fabiani E, Ratsch IM, et al. The coeliac iceberg in Italy. A multicentre antigliadin antibodies screening for coeliac disease in school age subjects. Acta Paediatr Suppl 1996;412:29-35.
7. Tommasini A, Not T, Marzari R, Ventura A. Malattia celiaca: tra passato e futuro. Prospettive in Pediatria 1999;29:181-96.
8. Faleschini E, Ventura A, Arbustini E, et al. Coeliac disease risk in patients with idiopathic dilated cardiomiopathy. Dig Liv Dis 2001;33:623,A11.
9. Sblattero D, Berti I, Trevisiol C, et al. Human recombinant tissue transglutaminase ELISA: a innovative diagnostic assay for celiac disease. Am J Gastroenterol 2000;95: 1253-7.
10. Trevisiol C, Ventura A, Baldas V, et al. A reiliable screening procedure for coeliac disease in clinical practice. Scand J Gastroenterol
2001. In press.
11. Lenhardt A, Plebani A, Insalaco A, Not T, et al. Coeliac disease in misdiagnosed children with total IgA deficiency. J Pediatr Gastroenterol Nutr 32,383 (A 71).
12. Csizmadia CG, Mearin ML, Oren A, et al. Accuracy and cost-effectiveness of a new strategy to screen for celiac disease in children with Down syndrome. J Pediatr 2000;137(6):756-61.
13. Asher H, Holm K, Kristiansson B, Maki M. Different features of coeliac disease in two neighbouring countries. Arch Dis Child 1993;69:375-80.
14. Ivarsson A, Persson LA, Nystrom I, et al. Epidemic of coeliac disease in Swedish children. Acta Paediatr 2000;89:166-71.
15. Carlsson AK, Axelsson IE, Borulf SK, et al. Serological Screening for coeliac disease in healthy 2.5-years old children in Sweden. Pediatrics 2001;107:42-5.
1. Armon K, Stephenson T, Mac Faul R, et al. An evidence and consensus based guideline for acute diarrhoea management. Arch Dis Child 2001;85:132-42.
2. Murphy MS. Guidelines for managing acute gastroenteritis based on a systemic review of published research. Arch Dis Child 1998; 70:279-84.
3. AAA Provisional Committee on quality improvement Subcommittee on acute gastroenteritis. Practice parameter: The management of acute gastroenteritis in young children. Pediatrics 1966;97:424-36.
4. Gavin N, Merrik N, Davidson B. Efficacy of glucose based oral rehydration therapy. Pediatrics 1996;98:45-51.
5. Fontaine O. Multicentre evaluation of reduced- osmolarity oral rehydration salts solution. International Study Group on reduced osmolarity ORS solution. Lancet 1995; 345:282-5.
6. Gore SM, Fontaine O, Pierce NF. Impact of rice based oral rehydration solution on stool output and duration of diarrhoea: meta-analysis of 13 clinical trials. BMJ 1992; 304:287-91.
7. Ramakrishna BS, et al. Amylase-resistant starch plus oral rehydration solution for cholera. NEJM 2000;342(5):308-13.
8. Sandhu B, Isolauri E, Walker Ssmith J, et al. Early feeding in childhood gastroenteritis. A multicentre study on behalf of the European Society of Paediatric Gastroenterology and Nutrition working group on acute diarrhoea. J Pediatr Gastroenterol Nutr 1997; 24:522-7.
9. Faruque ASG, et al. Breast feeding and oral rehydration at home during diarrhoea to prevent dehydration. Arch Dis Child 1992; 67:1027-29.
10. Brown KH, et al. Use non human milk in the dietary management of young children with acute diarrhoea: a metanalysis of clinical trials. Pediatrics 1994;93:17-27.
11. Wong CS, Jelacic S, Habeeb RL, et al. The risk of the hemolytic-uremic syndrome after antibiotic treatment of E coli O157:H7 infections. N Engl J Med 2000;342:1930-6. DOLORI ADDOMINALI RICORRENTI
1. Macarthur C, Saunders N, Feldman W. Helicobacter pylori, gastroduodenal disease, and recurrent abdominal pain in children. JAMA 1995;273:729-34.
2. Franc F, Stricker T, Stallmach T, Braegger CP. Helicobacter pylori infection in recurrent abdominal pain. J Pediatr Gastroenterol Nutr 2000;31:424-7.
3. Ozen H, Dinler G, Akyon Y, et al. Helicobacter pylori infection and recurrent abdominal pain in Turkish children. Helicobacter 2001;6:234-8 .
4. Andreotti F, Baggiani A, Fusco F, et al. Searching for coeliac disease in general pediatric practice. Clinical Pediatrics 2001. In press.
5. Fitzpatrick KP, Sherman P, Ipp M, et al. J Pediatr Gastroenterol Nutr 2001;233:250-2.
6. Sanders D, Carter MJ, Hurlstone DP, et al. Association of adult coeliac disease with irritable bowel syndrome: a case-control study in patients fulfilling ROME II criteria referred to secondary care. Lancet 2001;358:1504-8.
7. Rasquin-Weber A, Hyman PE, Cucchiara S, Fleisher DR, Hymans JS, Milla PJ, Staiano AM. Childhood functional gastrointestinal disorders. Gut 1999; suppl 2:II60-8.
8. Holt R, Darnely S, Kennedy T, Jones R. Screening for coeliac disease in patients with clinical diagnosis of irritable bowel syndrome. Gastroenterology 2001;120(suppl):A757 (abstr 4064).
9. Martelossi S, Della Vedova R, Devetta M, e Gruppo di studio FVG. Celiac disease screening among symptomatic children and adults in Friuli-Venezia Giulia. Dig and Liver Dis 2001;33,638:A57. CELIACHIA
1. Maki M, Collin P. Coeliac Disease. Lancet 1997;349:1755-9.
2. Catassi C, Ratsch IM, Fabiani E, et al. Coeliac disease in the year 2000: exploring the iceberg. Lancet 1994;343:200-3.
3. Ventura A, Greco L, Magazzů G. Duration of exposure to gluten and risk for autoimmune disorders in patients with celiac disease. Gastroenterology 1999;117:297-303.
4. Kiren V, Not T, Tommasini A, et al. Human tissue transglutaminase ELISA: a powerfull diagnostic assay for screening of coeliac disease. J Pediatr Gastroenterol Nutr 2000;31 S(3):24.
5. Berti I, Horvath K, Green P, Sblattero D, Not T, et al. Prevalence of coeliac disease in USA. J Pediatr Gastroenterol Nutr 2000;31 S(2):276.
6. Catassi C, Fabiani E, Ratsch IM, et al. The coeliac iceberg in Italy. A multicentre antigliadin antibodies screening for coeliac disease in school age subjects. Acta Paediatr Suppl 1996;412:29-35.
7. Tommasini A, Not T, Marzari R, Ventura A. Malattia celiaca: tra passato e futuro. Prospettive in Pediatria 1999;29:181-96.
8. Faleschini E, Ventura A, Arbustini E, et al. Coeliac disease risk in patients with idiopathic dilated cardiomiopathy. Dig Liv Dis 2001;33:623,A11.
9. Sblattero D, Berti I, Trevisiol C, et al. Human recombinant tissue transglutaminase ELISA: a innovative diagnostic assay for celiac disease. Am J Gastroenterol 2000;95: 1253-7.
10. Trevisiol C, Ventura A, Baldas V, et al. A reiliable screening procedure for coeliac disease in clinical practice. Scand J Gastroenterol
2001. In press.
11. Lenhardt A, Plebani A, Insalaco A, Not T, et al. Coeliac disease in misdiagnosed children with total IgA deficiency. J Pediatr Gastroenterol Nutr 32,383 (A 71).
12. Csizmadia CG, Mearin ML, Oren A, et al. Accuracy and cost-effectiveness of a new strategy to screen for celiac disease in children with Down syndrome. J Pediatr 2000;137(6):756-61.
13. Asher H, Holm K, Kristiansson B, Maki M. Different features of coeliac disease in two neighbouring countries. Arch Dis Child 1993;69:375-80.
14. Ivarsson A, Persson LA, Nystrom I, et al. Epidemic of coeliac disease in Swedish children. Acta Paediatr 2000;89:166-71.
15. Carlsson AK, Axelsson IE, Borulf SK, et al. Serological Screening for coeliac disease in healthy 2.5-years old children in Sweden. Pediatrics 2001;107:42-5.