Problemi correnti
Educazione alla salute o sviluppo dell’autonomia genitoriale?
HEALTH EDUCATION OR PROMOTION OF PARENTAL AUTONOMY?
GIUSEPPE MAGGIORE, SILVIA CAPRAI, MARCO SCIVERES, LUCA BERTACCA
Dipartimento di Medicina della Procreazione e dell’Età Evolutiva, Università di Pisa
Dicembre 2001 - pagg. 683 -685
Abstract
In developed countries persistent post-enteritic diarrhea is a clinical syndrome including three
distinct entities: chronic non specific diarrhea, usually not associated with failure to thrive;
persistent post-enteritic diarrhea, with moderate growth impairment and histological
abnormalities; post-infective gut dysfunction, which is likely a component of the irritable
bowel syndrome. Animal models of smooth muscle hypercontractility persisting after an
acute infection indicate that mediators, such as PGE2, produced by resident cells, actively
maintain the persistent changes in the gut during the post-infective status. The reversibility
of these functional changes by anti-inflammatory agents provides a basis for the use of anti-
inflammatory drugs in patients with post-infective gut disorder.
Parole chiave
Suggerite dall'AI
Classificazione MeSH
Bibliografia
1. Roy SK, Haider R, Akbar MS, Alam AN,
Khatun M, Eeckels R. Persistent diarrhoea:
clinical efficacy and nutrient absorption with
a rice-based diet. Arch Dis Child 1990;65:
294-97.
2. Rabbani GH, Teka T, Zaman B, Majid N, Khatun M, Fuchs GJ. Clinical studies in persistent diarrhea: dietary management with green banana or pectin in Bangladeshi children. Gastroenterology 2001;121: 554-60.
3. Davidson M, Wasserman R. The irritable colon of childhood (chronic nonspecific diarrhea syndrome). J Pediatr 1966;69:1027- 38.
4. Ventura A, Bohm P, Nassimbeni G. Il pediatra e la “diarrea del bambino sano”. Medico e Bambino 1994;10:553-61.
5. Bohem P, Nassimbeni G, Ventura A. Chronic non-specific diarrhea in childhood: how often is iatrogenic? Acta Paediatr 1998;87: 268-71.
6. Hoekstra JH. Toddler diarrhoea: more a nutritional disorder than a disease. Arch Dis Child 1998;79:2-5.
7. Weaver LT. Bowel habit from birth to old age. J Pediatr Gastroenterol Nutr 1988;7: 637- 40.
8. Hamdi I, Dodge JA. Toddler diarrhoea: observations on the effects of aspirin and loperamide. J Pediatr Gastroenterol Nutr 1985;4: 362-65.
9. Zoppi G, Deganello A, Gaburro D. Persistent post-enteritis diarrhoea. Eur J Pediatr 1977;126: 225-36.
10. Bhardwaj A, Aggarwal V, Chakravarty A, Mittal SK. Does Rotavirus infection cause persistent diarrhoea in childhood? Trop Gastroenterol 1996;17:18-21.
11. Azim T, Ahmad SM, Sefat-E-Khuda, Sarker MS, Unicomb LE, De S, Hamadani JD, Salam MA, Wahed MA, Albert MJ. Immune response of children who develop persistent diarrhea following Rotavirus infection. Clin Diagn Lab Immunol 1999;6:690-5.
12. King CE, Toskes PP. Small intestine bacterial overgrowth. Gastroenterology 1979;76: 1035-55.
13. Kerlin P, Wong L. Breath hydrogen testing in bacterial overgrowth of the small intestine. Gastroenterology 1988;95:982-8.
14. Attar A, Flourié B, Rambaud JC, Franchisseur C, Ruszniewski P, Bouhnik Y. Antibiotic efficacy in small intestinal bacterial overgrowth-related chronic diarrera: a crossover randomized trial. Gastroenterology 1999;117:794-7.
15. Sadoun-Journo E, Gaillard J, Blehaut H, Goulet O, Bernasconi P, Ricour C. Grêle court dysfunctionel (GCD) compliqué de pullulation microbienne chez l’enfant: effet de Saccharomyces boulardii (abst). Gastroenterologie Clin Biol 1994;18:A101.
16. Drossman DA, Whitehead WE, Camilleri M. Irritable Bowel syndrome: a technical review for practice guideline development. Gastroenterology 1997;112:2120-37.
17. Apley J, Naish N. Recurrent abdominal pain: a field survey of 1000 school children. Arch Dis Child 1958;33:165-70.
18. Walker LS, Guite J, Duke M, Barnard JA, Greene JW. Recurrent abdominal pain: a potential precursor of irritable bowel syndrome in adolescents and young adults. J Pediatr 1998;132:1010-5.
19. Neal KR, Hebden J, Spiller R. Prevalence of gastrointestinal symptoms six months after bacterial gastroenteritis and risk factors for development of irritable bowel syndrome: postal survey of patients. BMJ 1997;314:779- 82.
20. Garcia Rodriguez LA, Ruigomez A. Increased risk of irritable bowel syndrome after bacterial gastroenteritis: cohort study. BMJ 1999;318:565-6.
21. Barbara G, Vallance BA, Collins SM. Persistent intestinal neuromuscolar dysfunction after acute nematode infection in mice. Gastroenterology 1997;113:1224-32.
22. Barbara G, De Giorgio R, Deng Y, Vallance B, Blenner-Hasset P, Collins SM. Role of immunologic factors and cycloossigenase 2 in persistent post-infective enteric muscle dysfunction in mice. Gastroenterology 2001; 120:1729-36.
23. Gwee KA, Leong YL, Read NW, Graham C, McKendrick MW, Walters Underwood SJ, Collins SM. The role of psycological and biological factors in postinfective gut dysfunction. Gut 1999;44:400-6.
2. Rabbani GH, Teka T, Zaman B, Majid N, Khatun M, Fuchs GJ. Clinical studies in persistent diarrhea: dietary management with green banana or pectin in Bangladeshi children. Gastroenterology 2001;121: 554-60.
3. Davidson M, Wasserman R. The irritable colon of childhood (chronic nonspecific diarrhea syndrome). J Pediatr 1966;69:1027- 38.
4. Ventura A, Bohm P, Nassimbeni G. Il pediatra e la “diarrea del bambino sano”. Medico e Bambino 1994;10:553-61.
5. Bohem P, Nassimbeni G, Ventura A. Chronic non-specific diarrhea in childhood: how often is iatrogenic? Acta Paediatr 1998;87: 268-71.
6. Hoekstra JH. Toddler diarrhoea: more a nutritional disorder than a disease. Arch Dis Child 1998;79:2-5.
7. Weaver LT. Bowel habit from birth to old age. J Pediatr Gastroenterol Nutr 1988;7: 637- 40.
8. Hamdi I, Dodge JA. Toddler diarrhoea: observations on the effects of aspirin and loperamide. J Pediatr Gastroenterol Nutr 1985;4: 362-65.
9. Zoppi G, Deganello A, Gaburro D. Persistent post-enteritis diarrhoea. Eur J Pediatr 1977;126: 225-36.
10. Bhardwaj A, Aggarwal V, Chakravarty A, Mittal SK. Does Rotavirus infection cause persistent diarrhoea in childhood? Trop Gastroenterol 1996;17:18-21.
11. Azim T, Ahmad SM, Sefat-E-Khuda, Sarker MS, Unicomb LE, De S, Hamadani JD, Salam MA, Wahed MA, Albert MJ. Immune response of children who develop persistent diarrhea following Rotavirus infection. Clin Diagn Lab Immunol 1999;6:690-5.
12. King CE, Toskes PP. Small intestine bacterial overgrowth. Gastroenterology 1979;76: 1035-55.
13. Kerlin P, Wong L. Breath hydrogen testing in bacterial overgrowth of the small intestine. Gastroenterology 1988;95:982-8.
14. Attar A, Flourié B, Rambaud JC, Franchisseur C, Ruszniewski P, Bouhnik Y. Antibiotic efficacy in small intestinal bacterial overgrowth-related chronic diarrera: a crossover randomized trial. Gastroenterology 1999;117:794-7.
15. Sadoun-Journo E, Gaillard J, Blehaut H, Goulet O, Bernasconi P, Ricour C. Grêle court dysfunctionel (GCD) compliqué de pullulation microbienne chez l’enfant: effet de Saccharomyces boulardii (abst). Gastroenterologie Clin Biol 1994;18:A101.
16. Drossman DA, Whitehead WE, Camilleri M. Irritable Bowel syndrome: a technical review for practice guideline development. Gastroenterology 1997;112:2120-37.
17. Apley J, Naish N. Recurrent abdominal pain: a field survey of 1000 school children. Arch Dis Child 1958;33:165-70.
18. Walker LS, Guite J, Duke M, Barnard JA, Greene JW. Recurrent abdominal pain: a potential precursor of irritable bowel syndrome in adolescents and young adults. J Pediatr 1998;132:1010-5.
19. Neal KR, Hebden J, Spiller R. Prevalence of gastrointestinal symptoms six months after bacterial gastroenteritis and risk factors for development of irritable bowel syndrome: postal survey of patients. BMJ 1997;314:779- 82.
20. Garcia Rodriguez LA, Ruigomez A. Increased risk of irritable bowel syndrome after bacterial gastroenteritis: cohort study. BMJ 1999;318:565-6.
21. Barbara G, Vallance BA, Collins SM. Persistent intestinal neuromuscolar dysfunction after acute nematode infection in mice. Gastroenterology 1997;113:1224-32.
22. Barbara G, De Giorgio R, Deng Y, Vallance B, Blenner-Hasset P, Collins SM. Role of immunologic factors and cycloossigenase 2 in persistent post-infective enteric muscle dysfunction in mice. Gastroenterology 2001; 120:1729-36.
23. Gwee KA, Leong YL, Read NW, Graham C, McKendrick MW, Walters Underwood SJ, Collins SM. The role of psycological and biological factors in postinfective gut dysfunction. Gut 1999;44:400-6.