Diagnosis and Management of Gastrointestinal Manifestations in Children with Cystic Fibrosis

被引:2
作者
Anton-Paduraru, Dana-Teodora [1 ,2 ]
Murgu, Alina Mariela [1 ,2 ]
Bozomitu, Laura Iulia [1 ,2 ]
Mindru, Dana Elena [1 ,2 ]
Halitchi, Codruta Olimpiada Iliescu [1 ]
Trofin, Felicia [3 ]
Ciongradi, Carmen Iulia [2 ,4 ]
Sarbu, Ioan [2 ,4 ]
Esanu, Irina Mihaela [5 ]
Azoicai, Alice Nicoleta [1 ,2 ]
机构
[1] Grigore T Popa Univ Med & Pharm, Dept Mother & Child Med, Iasi 700115, Romania
[2] Sf Maria Children Emergency Hosp, Iasi 700309, Romania
[3] Grigore T Popa Univ Med & Pharm, Dept Prevent Med & Interdisciplinar Microbiol, Iasi 700115, Romania
[4] Grigore T Popa Univ Med & Pharm, Dept Surg Pediat Surg & Orthoped 2, Iasi 700115, Romania
[5] Grigore T Popa Univ Med & Pharm, Med Dept, Iasi 700115, Romania
关键词
cystic fibrosis; children; gastrointestinal manifestations; diagnosis; management; INTESTINAL BACTERIAL OVERGROWTH; FAT MALABSORPTION; BREATH TEST; GASTROESOPHAGEAL-REFLUX; OBSTRUCTION SYNDROME; CELIAC-DISEASE; ADULT PATIENTS; INFLAMMATION; PROBIOTICS; TRANSIT;
D O I
10.3390/diagnostics14020228
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Cystic fibrosis (CF) is primarily known for its pulmonary consequences, which are extensively explored in the existing literature. However, it is noteworthy that individuals with CF commonly display gastrointestinal (G-I) manifestations due to the substantial presence of the cystic fibrosis transmembrane conductance regulator (CFTR) protein in the intestinal tract. Recognized as pivotal nonpulmonary aspects of CF, G-I manifestations exhibit a diverse spectrum. Identifying and effectively managing these manifestations are crucial for sustaining health and influencing the overall quality of life for CF patients. This review aims to synthesize existing knowledge, providing a comprehensive overview of the G-I manifestations associated with CF. Each specific G-I manifestation, along with the diagnostic methodologies and therapeutic approaches, is delineated, encompassing the impact of innovative treatments targeting the fundamental effects of CF on the G-I tract. The findings underscore the imperative for prompt diagnosis and meticulous management of G-I manifestations, necessitating a multidisciplinary team approach for optimal care and enhancement of the quality of life for affected individuals. In conclusion, the authors emphasize the urgency for further clinical studies to establish a more robust evidence base for managing G-I symptoms within the context of this chronic disease. Such endeavors are deemed essential for advancing understanding and refining the clinical care of CF patients with G-I manifestations.
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页数:24
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