[Rumination syndrome: Diagnostic and therapeutic difficulties of a not so uncommon disorder].

Autor:	Giménez Casado A; Unidad de Gastroenterología Pediátrica, Servicio de Pediatría, Consorci Sanitari de Terrassa, Terrassa, Barcelona, España. Electronic address: aida_gimenez@hotmail.com., López Liñán MJ; Unidad de Gastroenterología Pediátrica, Servicio de Pediatría, Consorci Sanitari de Terrassa, Terrassa, Barcelona, España., Barba Orozco E; Unidad de Motilidad Digestiva, Servicio de Aparato Digestivo, Hospital Universitario Vall d'Hebron, Barcelona, España., Accarino Garaventa A; Unidad de Motilidad Digestiva, Servicio de Aparato Digestivo, Hospital Universitario Vall d'Hebron, Barcelona, España., Álvarez Beltrán M; Unidad de Gastroenterología, Hepatología, Soporte Nutricional y Trasplante Hepático Pediátrico, Servicio de Pediatría, Hospital Universitario Vall d'Hebron, Barcelona, España., Azpiroz Vidaur F; Unidad de Motilidad Digestiva, Servicio de Aparato Digestivo, Hospital Universitario Vall d'Hebron, Barcelona, España., Segarra Cantón O; Unidad de Gastroenterología, Hepatología, Soporte Nutricional y Trasplante Hepático Pediátrico, Servicio de Pediatría, Hospital Universitario Vall d'Hebron, Barcelona, España.
Jazyk:	Spanish; Castilian
Zdroj:	Anales de pediatria [An Pediatr (Engl Ed)] 2018 Feb; Vol. 88 (2), pp. 100-105. Date of Electronic Publication: 2017 Apr 29.
DOI:	10.1016/j.anpedi.2017.03.011
Abstrakt:	Introduction: Rumination syndrome is an uncommon gastrointestinal functional disorder that may be difficult to diagnose, as not many physicians are aware of this condition. In many cases, patients undergo numerous tests and are prescribed several treatments based on erroneous diagnoses. When the correct diagnosis is eventually made, therapy for the syndrome can be difficult and complex because of its multifactorial nature. The aim of this study was to present our experience with this condition, by presenting an analysis of the clinical, diagnostic, and therapeutic data of our patients. Patients and Method: A prospective and retrospective study was conducted on all cases of rumination syndrome diagnosed between January 2010 and May 2016 in patients attending the Paediatric Gastroenterology Departments of two hospitals: Consorci Sanitari de Terrassa and Hospital Materno-Infantil Vall d'Hebron (Barcelona, Spain). Results: The analysis included 12 patients, with a mean age at the onset of symptoms of 9 years and 1 month, and the mean time period to make the diagnosis was 2 years and 3 months. A mean of 8.1 complementary tests were carried out before establishing the diagnosis. In 10 of the 12 patients, some type of treatment had been given before the diagnosis of rumination syndrome, but was unsuccessful in all cases. Ten of our patients underwent the novel, experimental biofeedback therapy. Conclusions: Due to the limited knowledge of this condition among attending professionals in terms of the clinical presentation, diagnosis, and treatment, patients with rumination syndrome are often misdiagnosed and undergo numerous avoidable complementary tests, and invasive, costly treatments. (Copyright © 2017 Asociación Española de Pediatría. Publicado por Elsevier España, S.L.U. All rights reserved.)
Databáze:	MEDLINE
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