4.6 Article

Do Children Just Grow Out of Irritable Bowel Syndrome?

Journal

JOURNAL OF PEDIATRICS
Volume 183, Issue -, Pages 122-+

Publisher

MOSBY-ELSEVIER
DOI: 10.1016/j.jpeds.2016.12.036

Keywords

-

Categories

Ask authors/readers for more resources

Objective Few data exist on natural history of irritable bowel syndrome (IBS) in children; therefore we investigated symptoms evolution over time in a cohort of children with IBS. Study design In this observational, single-center study, we prospectively enrolled newly diagnosed children with IBS and reassessed them after 24 months. At both time points, patients completed a symptoms questionnaire, and a score of stool consistency was obtained. The therapeutic strategy adopted was also recorded. Results Eighty-three children (age 11 years, range, 4-16.6 years; 53 males) completed the study. Forty-seven (56.6%) patients received no medical treatment, whereas polyethylene glycol, probiotics, and trimebutine were prescribed to 9 (10.8%), 24 (28.9%), and 3 (3.6%) subjects, respectively. Twenty-four months after diagnosis, 48 children (57.8%) reported resolution of symptoms (P < .001), without differences between sexes (P = .35) or among IBS subtypes (P = .49). Of these, 30 (62.5%) had been only reassured and 18 (37.5%) had been prescribed medical treatment (P = .26). Despite not being statistically significant, symptoms resolution was more common in patients receiving no medical treatment than in those receiving probiotics (63.8% vs 41.6%, P = .08). Among patients with constipation-IBS, no difference was found in symptoms resolution between patients receiving polyethylene glycol and those receiving no medical treatment (67% and 40%, respectively, P = 1). Conclusions Children with IBS are likely to show spontaneous symptoms resolution over a 24-month follow-up, regardless of sex, age, impact of symptoms on daily activities, and IBS subtypes.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.6
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Article Gastroenterology & Hepatology

Overall Impact of Coronavirus Disease 2019 Outbreak in Children With Functional Abdominal Pain Disorders: Results From the First Pandemic Phase

Caterina Strisciuglio, Massimo Martinelli, Peter Lu, Michal Rozenfeld Bar Lev, Beate Beinvogl, Marc A. Benninga, Carlo Di Lorenzo, Francesca Fiori Nastro, Samuel Nurko, Haley Pearlstein, Rachel Rosen, Raanan Shamir, Annamaria Staiano

Summary: During the first phase of the COVID-19 pandemic, children with FAPDs experienced improved symptoms, with a decrease in abdominal pain episodes over time, and showed increased quality of life and anxiety levels.

JOURNAL OF PEDIATRIC GASTROENTEROLOGY AND NUTRITION (2021)

Review Gastroenterology & Hepatology

Role of inflammation in pediatric irritable bowel syndrome

Giovanni Di Nardo, Cesare Cremon, Annamaria Staiano, Vincenzo Stanghellini, Osvaldo Borrelli, Caterina Strisciuglio, Claudio Romano, Saverio Mallardo, Elena Scarpato, Giovanni Marasco, Silvia Salvatore, Letizia Zenzeri, Enrico Felici, Licia Pensabene, Simona Sestito, Ruggiero Francavilla, Paolo Quitadamo, Mariella Baldassarre, Valentina Giorgio, Renato Tambucci, Chiara Ziparo, Pasquale Parisi, Maria Raffaella Barbaro, Giovanni Barbara

Summary: Functional gastrointestinal disorders, such as IBS, affect many children worldwide due to disturbed neuroimmune function. Low-grade inflammation and mucosal immune activation play a significant role in symptom generation among pediatric patients with IBS, potentially influencing new therapeutic strategies.

NEUROGASTROENTEROLOGY AND MOTILITY (2023)

Article Pediatrics

Liver and Pancreatic Involvement in Children with Multisystem Inflammatory Syndrome Related to SARS-CoV-2: A Monocentric Study

Antonietta Giannattasio, Marco Maglione, Carolina D'Anna, Stefania Muzzica, Serena Pappacoda, Selvaggia Lenta, Onorina Di Mita, Giusy Ranucci, Claudia Mandato, Vincenzo Tipo

Summary: Liver and pancreatic involvement is commonly observed in children with MIS-C, but it is usually mild and results in complete recovery.

CHILDREN-BASEL (2022)

Letter Clinical Neurology

Pneumocephalus as a complication of spinal anesthesia in a child

Marco Maglione, Stefania Graziano, Carmela Russo, Antonietta Giannattasio, Vincenzo Tipo

CHILDS NERVOUS SYSTEM (2022)

Letter Pediatrics

ACUTE ABDOMEN DUE TO TORSION OF A WANDERING SPLEEN IN A CHILD

Antonietta Giannattasio, Marco Maglione, Crescenzo Coppola, Francesca Di Candia, Marianna De Marco, Sonia Tamasi, Vincenzo Tipo

JOURNAL OF PAEDIATRICS AND CHILD HEALTH (2022)

Article Biochemistry & Molecular Biology

Biomarkers of Endothelial Damage in Distinct Phases of Multisystem Inflammatory Syndrome in Children

Monica Gelzo, Antonietta Giannattasio, Marco Maglione, Stefania Muzzica, Carolina D'Anna, Filippo Scialo, Thaililja Gagliardo, Michela Grieco, Vincenzo Tipo, Giuseppe Castaldo

Summary: Endothelial hyperinflammation and vasculitis are common features in acute COVID-19 and MIS-C. The study found that MIS-C patients had higher levels of MCP-1 and VEGF-A at admission, followed by an increase in pANCA after one week. These findings suggest a potential involvement of vasculitis in the development of MIS-C.

METABOLITES (2022)

Review Chemistry, Multidisciplinary

Pediatric Asthma: Where Has Montelukast Gone?

Marco Maglione, Antonietta Giannattasio, Antonia Pascarella, Vincenzo Tipo

Summary: Montelukast is not a revolutionary drug for pediatric asthma management, but rather a second-line medication used when inhaled steroids are ineffective. However, concerns about its safety have arisen due to increasing side effects. This review summarizes the literature published since 2010 on the role of Montelukast in pediatric asthma, highlighting the controversial results and unanswered questions regarding its use.

APPLIED SCIENCES-BASEL (2023)

Review Pediatrics

Multiple Sclerosis-Related Dietary and Nutritional Issues: An Updated Scoping Review with a Focus on Pediatrics

Claudia Mandato, Angelo Colucci, Roberta Lanzillo, Annamaria Staiano, Elena Scarpato, Luigi Schiavo, Francesca Felicia Operto, Maria Rosaria Serra, Cristina Di Monaco, Julia Sara Napoli, Grazia Massa, Pietro Vajro

Summary: Purpose of this study was to explore the role of lifestyle and diet in the development and progression of multiple sclerosis (MS) and investigate the potential benefits of diets and dietary supplementations in improving patient outcomes. Findings revealed that there is no universally best diet for MS, but healthy and balanced diets rich in fruits, vegetables, whole grains, and lean proteins while limiting processed foods, sugar, and saturated fat appear to have antioxidant and anti-inflammatory properties and promote a gut microbiota that supports gut and brain barriers. Vitamin D and polyunsaturated fatty acids are the most studied supplements for reducing MS-associated inflammation. In addition, counseling on appropriate diet and maintaining physical activity is recommended for MS prevention and management in both adults and children until more research is available on newer approaches.

CHILDREN-BASEL (2023)

Article Gastroenterology & Hepatology

De Novo Crohn's Disease in Children With Ulcerative Colitis Undergoing Ileal Pouch-Anal Anastomosis: A Multicenter, Retrospective Study From the Pediatric IBD Porto Group of the ESPGHAN

Massimo Martinelli, Erminia Romeo, Tamara Caldaro, Konstantina Dimakou, Alexandra Papadopoulou, Manar Matar, Amit Assa, Valeria Dipasquale, Claudio Romano, Marina Aloi, Patrizia Alvisi, Dennis Roser, Kaija Leena Kolho, Nadeem Afzal, Oren Ledder, Schlomi Cohen, Jiri Bronsky, Johanna C. Escher, Annecarin Brueckner, Raanan Shamir, Annamaria Staiano, Erasmo Miele

Summary: This study aimed to determine the prevalence and predictive factors of Crohn's disease (CD) in children with ulcerative colitis (UC) after ileal pouch-anal anastomosis (IPAA). The results showed that children with UC undergoing IPAA had a high risk of developing subsequent CD, and a decreased preoperative body mass index was identified as a possible predictive factor for new-onset CD.

INFLAMMATORY BOWEL DISEASES (2023)

Article Pediatrics

Social media use to improve communication on children and adolescent's health: the role of the Italian Paediatric Society influencers

Elena Bozzola, Anna Maria Staiano, Giulia Spina, Nicola Zamperini, Francesco Marino, Marco Roversi, Giovanni Corsello

Summary: This study recruited a group of paediatric influencers to communicate information about children and adolescents' health on social media, showing a significant increase in engagement and reach. Most influencers reported positive experiences, demonstrating the potential success of using influencers to promote correct communication about children's and adolescents' health.

ITALIAN JOURNAL OF PEDIATRICS (2021)

Article Pediatrics

Crohn disease-like enterocolitis remission after empagliflozin treatment in a child with glycogen storage disease type Ib: a case report

Alessandro Rossi, Erasmo Miele, Simona Fecarotta, Maria Veiga-da-Cunha, Massimo Martinelli, Carmine Mollica, Maria D'Armiento, Enza Mozzillo, Pietro Strisciuglio, Terry G. J. Derks, Annamaria Staiano, Giancarlo Parenti

Summary: This study presents for the first time extensive gastrointestinal morphology follow-up in a GSD Ib patient receiving empagliflozin. The results suggest that this treatment can safely and effectively induce IBD remission, potentially postponing surgery. Future studies are needed to confirm long-term effects and assess benefits in different disease stages.

ITALIAN JOURNAL OF PEDIATRICS (2021)

Article Pediatrics

Prescribing patterns, indications and adverse events of ibuprofen in children: results from a national survey among Italian pediatricians

Massimo Martinelli, Lucia Quaglietta, Giuseppe Banderali, Pietro Ferrara, Claudio Romano, Annamaria Staiano

Summary: The study found that Italian pediatricians have a sufficient awareness of ibuprofen-prescribing patterns, but there is a concern regarding the relatively high percentage of pediatricians who combine/alternate the use of ibuprofen and paracetamol. The reported adverse events were mostly mild and often related to errors in dosage, frequency, and treatment duration, emphasizing the need for caution in both practitioners and patients in their use.

ITALIAN JOURNAL OF PEDIATRICS (2021)

Article Pediatrics

Is there a relationship between joint hypermobility and gastrointestinal disorders in children?

Paolo Quitadamo, Nikhil Thapar, Giovanni Di Nardo, Matilde Pescarin, Luca Bertelli, Clelia Tortora, Osvaldo Borrelli, Roberto De Giorgio, Annamaria Staiano

Summary: The study found a higher prevalence of joint hypermobility (JH) in children with ulcerative colitis, but the difference compared to the healthy controls did not reach statistical significance. Further investigation is needed to determine if JH can be considered a potential feature of pediatric GI disorders.

TURKISH JOURNAL OF PEDIATRICS (2021)

Letter Pediatrics

Breastfeeding and COVID-19 vaccination: position statement of the Italian scientific societies

Riccardo Davanzo, Massimo Agosti, Irene Cetin, Antonio Chiantera, Giovanni Corsello, Luca A. Ramenghi, Annamaria Staiano, Marcello Tavio, Alberto Villani, Elsa Viora, Fabio Mosca

Summary: Although knowledge about the administration of COVID-19 vaccine to breastfeeding mothers is limited, Italian scientific societies concluded that COVID-19 vaccination is compatible with breastfeeding due to the well-demonstrated health benefits of breastfeeding and the unlikely health risks for nursed infants according to biological plausibility.

ITALIAN JOURNAL OF PEDIATRICS (2021)

Review Pediatrics

Serious infectious events and ibuprofen administration in pediatrics: a narrative review in the era of COVID-19 pandemic

Lucia Quaglietta, Massimo Martinelli, Annamaria Staiano

Summary: Ibuprofen in children may lead to severe adverse events, including necrotizing soft tissue infections during chickenpox, which suggests cautious use.

ITALIAN JOURNAL OF PEDIATRICS (2021)

Article Pediatrics

Multicomponent Strategy Improves Human Papillomavirus Vaccination Rates Among Adolescents with Sickle Cell Disease

Tarun Aurora, Audrey Cole, Parul Rai, Paul Lavoie, Carrie Mcivor, Lisa M. Klesges, Guolian Kang, Janaka S. S. Liyanage, Heather M. Brandt, Jane S. Hankins

Summary: This study evaluated the effectiveness of a vaccine strategy bundle in increasing HPV vaccine initiation and completion rates in a specialty clinic setting. By implementing the bundle, which included staff education, provider incentives, offering vaccines in clinics, and verifying vaccine completion, the clinic successfully improved HPV vaccine initiation and completion rates among sickle cell disease patients.

JOURNAL OF PEDIATRICS (2024)

Article Pediatrics

Effect of Systemic Hydrocortisone on Brain Abnormalities and Regional Brain Volumes in Ventilator-dependent Infants Born Preterm: Substudy of the SToP-BPD Study

Nienke M. Halbmeijer, Wes Onland, Jeroen Dudink, Filip Cools, Anne Debeer, Anton H. van Kaam, Manon J. N. L. Benders, Niek E. van der Aa

Summary: In ventilated infants born preterm, high dose systemic hydrocortisone initiated between 7 and 14 days after birth did not have a significant impact on brain development.

JOURNAL OF PEDIATRICS (2024)

Article Pediatrics

Predictors of Transition Outcomes in Cystic Fibrosis: Analysis of National Patient Registry and CF RISE (Responsibility. Independence. Self-care. Education) Data

Katherine Melton, Jianfang Liu, Hossein Sadeghi, Maureen George, Arlene Smaldone

Summary: This study aims to identify predictors of change in lung function and body weight during health care transition in cystic fibrosis (CF) patients. The study findings highlight the importance of CF RISE program engagement and reducing gaps in care for improving the transition of adolescents and young adults with CF.

JOURNAL OF PEDIATRICS (2024)

Article Pediatrics

Quantification of Enteric Dysfunction in Cystic Fibrosis: Inter- and Intraindividual Variability

Laura A. Duckworth, Kimberly A. Sutton, Nurmohammad Shaikh, Jinli Wang, Carla Hall-Moore, Lori R. Holtz, Phillip I. Tarr, Ronald C. Rubenstein

Summary: The study tested the usefulness of various biomarkers as indicators of gut dysfunction in cystic fibrosis (CF) and investigated the repeatability of these measures in individuals over short periods and their correlation with clinical outcomes. The results showed that elevated levels of fLcn2 in individuals with CF may predict worsened pulmonary function.

JOURNAL OF PEDIATRICS (2024)

Article Pediatrics

Right Atrial Enlargement on Electrocardiogram in Previously Healthy Young

Lindsey Haack, Nikkan Das, Arvind Hoskoppal, Mark Debrunner, Tarek Alsaied, Gaurav Arora

Summary: RAE on ECG has a low positive predictive value for RAE on echocardiogram in previously healthy young patients. The highest yield for RAE on echocardiogram was observed in patients who were <1 year of age, had RAE in the anterior precordial leads, or displayed right ventricular hypertrophy on ECG.

JOURNAL OF PEDIATRICS (2024)

Article Pediatrics

Spectrum of Disease in Hospitalized Newborns with Congenital Micrognathia: A Cohort of 3,236 Infants at North American Tertiary-Care Intensive Care Units

Michael A. Padula, Khatija Naing, Tara L. Wenger, Irfan Ahmad, Carl H. Coghill, K. Taylor Wild, S. Alex Rottgers, Cory M. Resnick, Jeffrey Goldstein, Zarmina Ehsan, Donna Watkins, Nicole Deptula, Kuan-Chi Lai, Janet Lioy, Semsa Gogcu, Christopher M. Cielo

Summary: This study describes the spectrum of disease and burden of care in infants with congenital micrognathia. The results show that these infants commonly require surgical intervention and tube feedings, and disparities based on race and among centers were identified.

JOURNAL OF PEDIATRICS (2024)

Article Pediatrics

Opioid Utilization after Cardiac Surgery in the Pediatric Medicaid-Insured Population

Michael P. Fundora, Manvitha Kalicheti, Guantao Zhao, Kevin O. Maher, Nicoleta Serban

Summary: This study investigated the variation of outpatient opioid prescribing in postoperative pediatric cardiac patients across the US. The results showed that there were significant differences in opioid prescribing by race, ethnicity, sex, and region.

JOURNAL OF PEDIATRICS (2024)

Article Pediatrics

Tracking of Cardiorespiratory Fitness from Childhood to Mid-adulthood

Jia Guo, Brooklyn J. Fraser, Leigh Blizzard, Michael D. Schmidt, Terence Dwyer, Alison J. Venn, Costan G. Magnussen

Summary: There is a correlation between childhood and adulthood cardiorespiratory fitness.

JOURNAL OF PEDIATRICS (2024)

Article Pediatrics

Blood Pressure Outcomes in NICU-Admitted Infants with Neonatal Hypertension: A Pediatric Nephrology Research Consortium Study

Nianzhou Xiao, Michelle Starr, Adrienne Stolfi, Gilad Hamdani, Shireen Hashmat, Stefan G. Kiessling, Christina Sethna, Mahmoud Kallash, Robyn Matloff, Robert Woroniecki, Keia Sanderson, Ikuyo Yamaguchi, Stephen D. Cha, Michael G. Semanik, Rahul Chanchlani, Joseph T. Flynn, Mark Mitsnefes

Summary: This multicenter study reports that most infants diagnosed with idiopathic hypertension in the NICU will discontinue antihypertensive treatment within 2 years of discharge. Antenatal steroid treatment is associated with a decreased likelihood of needing antihypertensive therapy for more than 1 year.

JOURNAL OF PEDIATRICS (2024)

Editorial Material Pediatrics

Real-World Evidence for Neonatal Drug Development: Challenges and Opportunities

Kanwaljit Singh, John Concato, Jonathan M. Davis

JOURNAL OF PEDIATRICS (2024)

Article Pediatrics

The Influence of Dietary Counseling Over 20 Years on Tracking of Non-High-Density Lipoprotein Cholesterol from Infancy to Young Adulthood

Yaxing Meng, Harri Niinikoski, Suvi P. Rovio, Brooklyn J. Fraser, Feitong Wu, Antti Jula, Tapani Ronnemaa, Jorma S. A. Viikari, Olli T. Raitakari, Katja Pahkala, Costan G. Magnussen

Summary: This 26-year study shows a correlation between early-life non-HDL-C levels and future levels. Early dietary counseling can reduce the risk of high pediatric non-HDL-C, emphasizing the importance of early interventions in preventing cardiovascular risks.

JOURNAL OF PEDIATRICS (2024)

Article Pediatrics

One Step Closer to Safer: Counseling Outcomes from American Academy of Pediatrics Firearm Safe Storage Education Training

Kelsey A. B. Gastineau, Rebecca Bell, Allison Hanes, Sandra Mckay, Eric Sigel, Filoteia Popescu, Evan C. Sommer, Shari Barkin

Summary: This study aimed to assess the self-reported counseling outcomes for a firearm safe storage counseling training program provided by the American Academy of Pediatrics. The results demonstrated significant improvement in counseling self-efficacy and frequency one month after the training.

JOURNAL OF PEDIATRICS (2024)

Article Pediatrics

Health-Related Quality of Life for Parents of Infants with Bronchopulmonary Dysplasia

Kathryn E. K. Berlin, William Scott, Sara Dawson, David Brousseau, Joanne M. Lagatta

Summary: This prospective cohort study aimed to investigate the impact of bronchopulmonary dysplasia (BPD) on the health-related quality of life (HRQL) of infants from NICU hospitalization to one year post-discharge. The study found that lower HRQL during NICU stay was associated with earlier gestational age, postnatal corticosteroid usage, outborn status, and gastrostomy tube placement. Lower HRQL at 3 and 12 months post-discharge was associated with readmissions, home oxygen use, parent-reported difficulty breathing, lower developmental scores, and not playing with other children. Most parents reported similar or improved HRQL after discharge, but parents of infants with respiratory symptoms experienced less improvement. Efforts to improve parent HRQL should focus on respiratory symptoms and social isolation.

JOURNAL OF PEDIATRICS (2024)

Article Pediatrics

Reference Values for Cardiorespiratory Fitness in Patients Aged 6 to 18 Years

Garett J. Griffith, Alan P. Wang, Robert I. Liem, Michael R. Carr, Tyler Corson, Kendra Ward

Summary: This study developed reference values for cardiorespiratory fitness in children aged 6-18 years without underlying heart disease, measured by peak oxygen uptake and treadmill time. Fitness levels increased with age in males but not females. Males generally exhibited higher fitness levels compared to females in the same age groups.

JOURNAL OF PEDIATRICS (2024)

Article Pediatrics

Early Elbow Flexion Contracture Predicts Shoulder Contracture in Infants with Brachial Plexus Birth Injury

David S. Liu, Patricia Miller, Anna Rothenberg, Carley Vuillermin, Peter M. Waters, Andrea S. Bauer

Summary: This study aims to determine if children with elbow flexion contracture (EFC) caused by brachial plexus birth injury (BPBI) are more likely to develop shoulder contracture and undergo surgical treatment. A retrospective review was conducted on children under 2 years old with BPBI who presented to a single children's hospital. The results showed that patients with EFC had reduced shoulder range of motion and higher odds of shoulder contracture and surgical treatment. Prompt referral to a BPBI specialty clinic is recommended for evaluation and potential surgery.

JOURNAL OF PEDIATRICS (2024)