학술논문
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)
Document Type
article
Author
Sara Isoldi; Giovanni Di Nardo; Saverio Mallardo; Pasquale Parisi; Umberto Raucci; Renato Tambucci; Paolo Quitadamo; Silvia Salvatore; Enrico Felici; Fabio Cisarò; Licia Pensabene; Claudia Banzato; Caterina Strisciuglio; Claudio Romano; Patrizia Fusco; Francesca Rigotti; Naire Sansotta; Silvia Caimmi; Salvatore Savasta; Giovanna Zuin; Marina Di Stefano; Silvia Provera; Angelo Campanozzi; Paolo Rossi; Simona Gatti; Mara Corpino; Patrizia Alvisi; Stefano Martelossi; Agnese Suppiej; Paolo Gandullia; Alberto Verrotti; Gianluca Terrin; Caterina Pacenza; Fabiola Fornaroli; Donatella Comito; Stefano D’Arrigo; Pasquale Striano; Federico Raviglione; Marco Carotenuto; Alessandro Orsini; Vincenzo Belcastro; Giovanna Di Corcia; Vincenzo Raieli; Michela Ada Noris Ferilli; Claudia Ruscitto; Elisabetta Spadoni; Salvatore Grosso; Renato D’Alonzo; Amanda Papa; Piero Pavone; Mariaclaudia Meli; Mario Velardita; Martina Mainetti; Nicola Vanacore; Osvaldo Borrelli
Source
Italian Journal of Pediatrics, Vol 48, Iss 1, Pp 1-9 (2022)
Subject
Language
English
ISSN
1824-7288
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.