Functional constipation related to cow's milk allergy in children: A management proposal

被引：12
|
作者：
Gelsomino, Mariannita [1 ]
Del Vescovo, Ester [1 ]
Bersani, Giulia [1 ]
Sopo, Stefano Miceli [1 ]
机构：
[1] Univ Cattolica Sacro Cuore, Pediat Allergy Unit, Policlin Gemelli Univ Fdn IRCCS, Pediat Area,Dept Life Sci & Publ Hlth, Rome, Italy
来源：
ALLERGOLOGIA ET IMMUNOPATHOLOGIA | 2021年 / 49卷 / 03期
关键词：
Atopy; children; cow's milk allergy; elimination diet; functional constipation;
D O I：
10.15586/aei.v49i3.72
中图分类号：
R392 [医学免疫学];
学科分类号：
100102 ;
摘要：
Functional constipation (FC) is one of the most common disorders in childhood and has a negative impact on the quality of life of children. Scientific evidence regarding a causal relationship between FC and cow's milk allergy is controversial, as it is also reported by the latest European Society for Paediatric Gastroenterology, Hepatology and Nutrition-North American Society for Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN-NASPGHAN) recommendations. In the case of FC, routine allergometric tests are not recommended and the cows' milk-free diet is only proposed in the case of laxative-resistant constipation and only following the advice of an expert. Instead, after a careful review of the literature and in view of the many clinical cases encountered in our clinical practice, we believe that it is useful to propose cows' milk-free diet as first line for the treatment of FC at least in pre-school children and in children with a personal or family history of atopy or with a previous diagnosis of cow's milk protein allergy. (C) 2021 Codon Publications. Published by Codon Publications.
引用
收藏
页码：17 / 20
页数：4
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