| Abstract | Cilj istraživanja je utvrditi učestalost funkcijskih poremećaja probavnog sustava kod djece upućene na pregled pedijatrijskom gastroenterologu te dobiveni rezultat usporediti s podacima iz dosad provedenih studija. Retrospektivnim pregledom medicinske dokumentacije i obradom podataka o bolesnicima s funkcijskim poremećajima probavnog sustava koji su pregledani u ambulantama pedijatrijske gastroenterološke poliklinike KBC-a Zagreb u periodu od 1.1.2017. do 31.12.2017 dobiveni su sljedeći rezultati. Tijekom 2017. godine 328 bolesnika, odnosno 18,97% djece upućene pedijatrijskom gastroenterologu, imalo je dijagnozu jednog ili više funkcijskih poremećaja probavnog sustava, na ukupno 571 pregled. Kod 73,47% djece radilo se o prvom pregledu. Većinom su simptomi počeli 4-6 mjeseci ranije (22,41%). Uputna dijagnoza razlikovala se od konačne kod 44,40% pacijenata. Najčešća uputna dijagnoza bila je opstipacija (22,00%). U cijeloj ispitivanoj skupini najčešće dijagnoze su funkcijska opstipacija (40,24%), funkcijski recidivni bolovi u trbuhu (18,60%) te sindrom iritabilnog crijeva (14,02%). Postoji razlika u učestalosti dijagnoza po dobi: u dobi od 0 do 3 godine te u dobi od 4 do 10 godina najčešća je funkcijska opstipacija sa ili bez enkopreze (71,93%, odnosno 53,23% ispitanika), a u skupini od 11 do 18 godina najzastupljenija dijagnoza je sindrom iritabilnog crijeva (27,21%). Uočena je razlika u dijagnozama i po spolu. U oba je spola funkcijska opstipacija najčešća dijagnoza, ali je pridružena neorganska enkopreza češća u dječaka (χ²=4,577, p<0,05). Funkcijska dispepsija češća je u djevojčica (χ²=11,389, p<0,001). Postoji trend veće učestalosti funkcijskih recidivnih bolova u trbuhu i sindroma iritabilnog crijeva s proljevima kod djevojčica, a sindroma iritabilnog crijeva bez proljeva kod dječaka. Na temelju navedenih rezultata možemo zaključiti da učestalost funkcijskih poremećaja probavnog sustava kod djece upućene pedijatrijskom gastroenterologu KBC-a Zagreb bitno ne odstupa u odnosu na rezultate dosadašnjih europskih i svjetskih studija. |
| Abstract (english) | The aim of the study was to assess the frequency of functional gastrointestinal disorders (FGIDs) in children referred to pediatric gastroenterologist and compare the results with the results of previous studies. The study included patients with FGIDs who visited pediatric gastroenterologist at the UHC Zagreb from January 1st 2017 to December 31st 2017. Data was extracted retrospectively from clinical records. The following results were obtained. In year 2017, 328 (18.97%) children referred to pediatric gastroenterologist were diagnosed with one or more FGIDs, at 571 visits totally. Most patients were so at their first visit (73.47%). Of those, most subjects experienced functional symptoms for 4 to 6 months (22.41%). Referral and final diagnosis were different in 44.40% of patients. The most common referral diagnosis was functional constipation (22.00%). Among subjects, the most frequent disorders were functional constipation (40.24%), functional abdominal pain (18.60%) and irritable bowel syndrome (IBS) (14.02%). Some age-related differences in frequencies of FGIDs were found. In subjects ages 0 to 3 years and 4 to 10 years, the most common diagnosis was functional constipation with or without encopresis (71.93%, 53.23%). In subjects ages 11 to 18 years, the most frequent disorder was irritable bowel syndrome (27.21%). There were also significant differences in frequencies of FGIDs between boys and girls. Among both sexes, the most frequent diagnosis was functional constipation, but non-organic encopresis was more common among boys (χ²=4.5771, p<0.05). Functional dyspepsia was more common among girls (χ²=11.3889, p<0.001). Functional abdominal pain and diarrhea-IBS tend to be more frequent among girls, while constipation-IBS tends to be more frequent among boys.
Based on the results presented above, we can conclude that incidence of functional gastrointestinal disorders in children referred to pediatric gastroenterologist does not differ remarkably from the results of previous European and world studies. |
