Prevalence of functional gastrointestinal disorders and intestinal habit hospitalized in infants under 12 months of hospital infantil Baca Ortíz from Quito, Ecuador
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Keywords

Digestive system diseases
Infant
Constipation
Colic
Gastroesophageal reflux

How to Cite

Játiva-Mariño, E., Játiva-Cabezas, Z., & Velasco-Benítez, C. A. (2019). Prevalence of functional gastrointestinal disorders and intestinal habit hospitalized in infants under 12 months of hospital infantil Baca Ortíz from Quito, Ecuador. Médicas UIS, 32(2), 13–21. https://doi.org/10.18273/revmed.v32n2-2019002

Abstract

Introduction: the prevalence of functional gastrointestinal disorders in Ecuadorian younger infant is unknown and there is no gold standard for stool consistency. Objective: to determine the prevalence of functional gastrointestinal disorders in infants younger 12 months and to identify the intestinal habit. Methodology: prevalence study in hospitalized infants at the Hospital Infantil Baca Ortíz in Quito, Ecuador, who were diagnosed with functional diarrhea, colic, functional constipation, dyschezia, regurgitation, cyclic vomiting syndrome and rumination. Socio-demographic, clinical variables and questions about intestinal habits, based on the Questionnaire for Pediatric Digestive Symptoms Roma III translated and validated in Spanish, were included. The statistic included uni and multivariate analyzes and the calculation of the ORs, being a significant p <0.05. Results: a total of 147 infants, 6,8±3,3 months old, 50,3% girls; with the main cause of hospitalization the respiratory system. Were reported 36.0% with some functional gastrointestinal disorders: colic (12.2%), functional constipation (9,5%), dyschezia (8,0%) and regurgitation (7,5%). There were no possible associated risk factors. Hard stools were reported in 4,1% and 7,4% by Criteria of Rome III and Bristol Stool Scale, respectively. There was acceptable agreement (kappa = 0,3989, p = 0.0221) between the parents’ report for the Rome Criteria III and the Bristol Stool Scale. Conclusion: one third f these children presented some functional gastrointestinal disorders, being the most frequent functional constipation, regurgitation, colic and dyschezia; without  possible risk factors; identifying an acceptable concordance between what was reported by parents according to Rome Criteria III and Bristol Stool Scale. MÉD.UIS.2019;32(2):13-21 

https://doi.org/10.18273/revmed.v32n2-2019002
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References

1. van den Berg M, Benninga M, Di Lorenzo C. Epidemiology of Childhood Constipation: A Systematic Review. Am J Gastroenterol. 2006; 101 (10): 2401–2409

2. Thompson WG. The Road to Rome. Gastroenterology. 2006; 130 (5): 1552–1556

3. Benninga MA, Nurko S, Faure C, Hyman PE, Roberts ISJ, Schechter NL. Childhood Functional Gastrointestinal Disorders: Neonate/Toddler. Gastroenterology. 2016; 150: 1443–1455

4. van Tilburg MAL, Hyman PE, Walker L, Rouster A, Palsson OS, Kim SM, et al. Prevalence of Functional Gastrointestinal Disorders in Infants and Toddlers. J Pediatr. 2015; 166: 684-689

5. Velasco-Benítez CA, Saps M, Chanis R, Játiva E, Mejía M, Moreno J, et al. Desórdenes gastrointestinales funcionales en lactantes y pre-escolares latinoamericanos. Grupo de trabajo de la ociedad Latinoamericana de Gastroenterología, Hepatología y Nutrición Pediátrica (SLAGHNP). Acta Gastroenterol Latinoam. 2018; 48: 56-64

6. Chogle A, Velasco-Benítez CA, Koppen IJ, Moreno JE, Ramírez CR, Saps M. A Population-Based Study on the Epidemiology of Functional Gastrointestinal Disorders in Young Children. J Pediatr.
016; 179: 139-143

7. Park R, Mikami S, Leclair J, Bollom A, Lembo C, Sethi S, et al.Inpatient burden of childhood functional GI disorders in the USA: An analysis of national trends in the USA from 1997 to 2009. Neurogastroenterol Motil. 2015; 27 (5): 684-692

8. Benninga M, Candy D, Catto-Smith A, Clayden G, LoeningBaucke V, Di Lorenzo C, et al. The Paris Consensus on Childhood Constipation Terminology (PACCT) Group. JPGN. 2005; 40 (3): 273-275

9. Játiva E, Velasco-Benítez CA, Koppen IJN, Játiva-Cabezas Z, Saps M. Prevalence of Functional Gastrointestinal Disorders in Schoolchildren in Ecuador. JPGN. 2016; 63: 25–28

10. Saps M, Nichols-Vinueza DX, Rosen JM, Velasco-Benítez CA. Prevalence of Functional Gastrointestinal Disorders in Colombian School Children. J Pediatr. 2014; 164: 542-545

11. Lu PL, Saps M, Chanis RA, Velasco-Benítez CA. The prevalence of functional gastrointestinal disorders in children in Panama: a school-based study. Acta Pædiatrica. 2016; 105: e232–e236

12. Zablah R, Velasco-Benítez CA, Merlos I, Bonilla S, Saps M. Prevalencia de trastornos funcionales gastrointestinales en niños en edad escolar en El Salvador. Rev Gastroenterol Méx. 2015; 80:186-191

13. Dhroove G, Saps M, García-Bueno C, Levya Jiménez A, Rodríguez-Reynosa LL, Velasco-Benítez CA. Prevalencia de trastornos gastrointestinales funcionales en escolares mexicanos. Rev
astroenterol Méx. 2017; 82: 13-18

14. Mejía M, Velasco-Benítez CA, Díaz J. La prevalencia y sus posibles asociaciones de los desórdenes gastrointestinales funcionales en escolares y adolescentes de colegios privados de Managua, Nicaragua. Acta Gastroenterol Latinoam. 2017; 47: 163-168

15. Di Lorenzo C. Impact of Early Life Events on Pediatric Functional Gastrointestinal Disorders. JPGN. 2013; 57 (Suppl 1): S15-S18

16. Koppen IJN, Velasco-Benítez CA, Benninga MA, Di Lorenzo C, Saps M. Using the Bristol Stool Scale and Parental Report of Stool Consistency as Part of the Rome III Criteria for Functional Constipation in Infants and Toddlers. J Pediatr. 2016; 177: 44-48

17. Velasco-Benítez CA, Sánchez MP, Aragón LE. Realibility of theFINDERS questionnaire in Spanish based on Rome III Criteria for functional gastrointestinal disorders in infants and toddler from
Colombia, South America. JPGN. 2015; 61 (Suppl 2): S57

18. Hyman PE, Milla PJ, Benninga MA, Davidson GP, Fleisher DF, Taminiau J. Childhood Functional Gastrointestinal Disorders: Neonate/Toddler. Gastroenterology. 2006; 130: 1519-1526

19. van Tilburg MAL, Rouster A, Silver D, Pellegrini G, Gao J, Hyman PE. Development and Validation of a Rome III Functional Gastrointestinal Disorders Questionnaire for Infants and Toddlers. JPGN. 2015; 62: 384–386

20. Rouster AS, Karpinski AC, Silver D, Monagas J, Hyman PE. Functional Gastrointestinal Disorders Dominate Pediatric Gastroenterology Outpatient Practice. JPGN. 2016; 62: 847–851

21. Ferreira-Maia AP, Matijasevich A, Wang YP. Epidemiology of functional gastrointestinal disorders in infants and toddlers: A systematic review. World J Gastroenterol. 2016; 22: 6547-6558

22. Di Lorenzo C. Other Functional Gastrointestinal Disorders in Infants and Young Children. JPGN. 2013; 57 (Suppl 1): S36-S38

23. Steutel NF, Benninga MA, Langendam MW, de Kruijff I, Tabbers MM. Reporting Outcome Measures in Trials of Infant Colic. JPGN. 2014; 59: 341–346

24. Szajewska H, Dryl R. Probiotics for the Management of Infantile Colic. JPGN. 2016; 63 (Suppl 1): S22-S24

25. Chogle A, Velasco-Benitez CA, Chanis R, Mejia M, Saps M. Multicountry cross-sectional study found that functional gastrointestinal disorders such as colic and functional dyschezia were common in South American infants. Acta Pædiatr. 2018; 107: 708–713

26. Romanello S, Spiri D, Marcuzzi E, Zanin A, Boizeau P, Riviere S, et al. Association Between Childhood Migraine and History of Infantile Colic. JAMA. 2013; 309: 1607-1612

27. von Baeyer CL, Champion GD. Commentary: multiple pains as functional pain syndromes. J Pediatr Psychol. 2011; 36: 433-437

28. Indrio F, Di Mauro A, Riezzo G, Cavallo L, Francavilla R. Infantile colic, regurgitation, and constipation: an early traumatic insult in the development of functional gastrointestinal disorders in
children? Eur J Pediatr. 2015; 174: 841–842

29. Bekkali N, Hamers SL, Reitsma JB, van Toledo L, Benninga M. Infant Stool Form Scale: Development and Results. J Pediatr. 2009; 154: 521-526
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