Cyclic vomiting syndrome - Features to be explained by a pathophysiologic model

被引:0
|
作者
Li, BUK
Fleisher, DR
机构
[1] Ohio State Univ, Dept Pediat, Columbus, OH 43210 USA
[2] Univ Missouri, Columbia, MO USA
关键词
recurrent vomiting; cyclic vomiting syndrome; cyclic vomiting pattern; migraine; migraine headaches; abdominal migraine;
D O I
暂无
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Cyclic vomiting syndrome is a disorder of unknown etiology that is characterized by its clinical pattern of rapid-fire, episodic (on-off) vomiting with interval wellness. The pattern is stereotypic within individuals and typified by a rapid onset during the night or early morning, rapid denouement, and associated symptoms of pallor, lethargy, anorexia, nausea, retching, vomiting, and abdominal pain. The vomiting appears to be triggered by a variety of physical and psychological stresses. The disorder usuary begins in toddlers and resolves during adolescence. By definition, cyclic vomiting syndrome is an idiopathic disorder that requires exclusionary laboratory testing. Not only can it be mimicked by many specific disorders, eg, surgical, neurologic, endocrine, metabolic, renal, but within idiopathic cyclic vomiting syndrome there may be specific subgroups that have different mechanisms. Treatment options are improving at present and serotonergic agents have the most promise. Although the pathogenesis is unknown, there are now several tenable mechanisms including migraine, metabolic, neuroendocrine, and gastrointestinal. Cyclic vomiting syndrome may be a useful model for the study of emesis.
引用
收藏
页码:13S / 18S
页数:6
相关论文
共 50 条
  • [1] Cyclic vomiting syndrome in 28 patients: demographics, features and outcomes
    Lee, Lennard Y.
    Abbott, Laura
    Moodie, Simon
    Anderson, Simon
    [J]. EUROPEAN JOURNAL OF GASTROENTEROLOGY & HEPATOLOGY, 2012, 24 (08) : 939 - 943
  • [2] CYCLIC VOMITING SYNDROME IN 28 PATIENTS: DEMOGRAPHICS, FEATURES AND OUTCOMES
    Lee, L.
    Abbott, L.
    Burnett, J.
    Anderson, S.
    Moodie, S.
    [J]. GUT, 2012, 61 : A318 - A318
  • [3] Cyclic Vomiting Syndrome
    Bonthala, Nirupama
    Mathew, Gina
    [J]. AMERICAN JOURNAL OF GASTROENTEROLOGY, 2011, 106 : S368 - S368
  • [4] Cyclic vomiting syndrome
    B. U. K. Li
    [J]. Current Treatment Options in Gastroenterology, 2000, 3 (5) : 395 - 402
  • [5] Cyclic Vomiting Syndrome
    Alessandra Zicari
    Giovanni Corrado
    Claudia Pacchiarotti
    Sandra Lucarelli
    Tullio Frediani
    Marisa Cavaliere
    Mariassunta Porcelli
    Ettore Cardi
    [J]. Digestive Diseases and Sciences, 2001, 46 (4) : 831 - 835
  • [6] Cyclic Vomiting Syndrome
    Foreman, Michael S.
    Camp, Tammy
    [J]. PEDIATRICS IN REVIEW, 2018, 39 (02) : 100 - 101
  • [7] Cyclic Vomiting Syndrome
    Aiman, Shah
    Kundal, Bharti
    Chopra, Gurika
    [J]. SAUDI JOURNAL OF MEDICINE & MEDICAL SCIENCES, 2016, 4 (01): : 45 - 46
  • [8] Cyclic Vomiting Syndrome
    Bae, Sun Hwan
    [J]. PEDIATRIC GASTROENTEROLOGY HEPATOLOGY & NUTRITION, 2007, 10 : 25 - 30
  • [9] Cyclic vomiting syndrome
    Cano Ruiz, P.
    Canas Fraile, S.
    Gomez Peinado, A.
    Sanchez Garcia, M. D.
    [J]. EUROPEAN PSYCHIATRY, 2016, 33 : S628 - S629
  • [10] Cyclic vomiting syndrome in adults: Clinical features and response to tricyclic antidepressants
    Prakash, C
    Clouse, RE
    [J]. AMERICAN JOURNAL OF GASTROENTEROLOGY, 1999, 94 (10): : 2855 - 2860