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Professional paper - Review paper

Gastropareza u dječjoj dobi: egzotika ili svakodnevni problem?

Paediatria Croatica, 54 (2010), 2; 99-104. urn:nbn:hr:184:387725

Palčevski, Goran; Peršić, Mladen

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APA 6th Edition

Palčevski, G. & Peršić, M. (2010). Gastropareza u dječjoj dobi: egzotika ili svakodnevni problem?. Paediatria Croatica, 54. (2), 99-104. Retrieved from https://urn.nsk.hr/urn:nbn:hr:184:387725

MLA 8th Edition

Palčevski, Goran and Mladen Peršić. "Gastropareza u dječjoj dobi: egzotika ili svakodnevni problem?." Paediatria Croatica, vol. 54, no. 2, 2010, pp. 99-104. https://urn.nsk.hr/urn:nbn:hr:184:387725

Chicago 17th Edition

Palčevski, Goran and Mladen Peršić. "Gastropareza u dječjoj dobi: egzotika ili svakodnevni problem?." Paediatria Croatica 54, no. 2 (2010): 99-104. https://urn.nsk.hr/urn:nbn:hr:184:387725

Harvard

Palčevski, G. and Peršić, M. (2010) 'Gastropareza u dječjoj dobi: egzotika ili svakodnevni problem?', Paediatria Croatica, 54(2), pp. 99-104. Available at: https://urn.nsk.hr/urn:nbn:hr:184:387725 (Accessed 29 November 2024)

Vancouver

Palčevski G, Peršić M. Gastropareza u dječjoj dobi: egzotika ili svakodnevni problem?. Paediatria Croatica [Internet]. 2010 [cited 2024 November 29];54(2):99-104. Available at: https://urn.nsk.hr/urn:nbn:hr:184:387725

IEEE

G. Palčevski and M. Peršić, "Gastropareza u dječjoj dobi: egzotika ili svakodnevni problem?", Paediatria Croatica, vol. 54, no. 2, pp. 99-104, 2010. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:184:387725. [Accessed: 29 November 2024]

Cite this item: https://urn.nsk.hr/urn:nbn:hr:184:387725

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Metadata

Title (croatian)	Gastropareza u dječjoj dobi: egzotika ili svakodnevni problem?
Title (english)	Gastroparesis in childhood: fiction or daily problem?
Author	Goran Palčevski
Author	Mladen Peršić
Author's institution	University of Rijeka Faculty of Medicine (Department of Pediatrics)
Scientific / art field, discipline and subdiscipline	BIOMEDICINE AND HEALTHCARE Clinical Medical Sciences Pediatrics
Abstract (croatian)	Gastropareza je poremećaj obilježen povraćanjem, epigastričnom boli, osjećajem nadutosti, ranim osjetom sitosti, distenzijom abdomena i gubitkom tjelesne mase. Nastaje kao posljedica otežanog pražnjenja želučanog sadržaja u duodenum, a u odsutnosti mehaničke zapreke. U djece se gastropareza najčešće javlja kao posljedica gastroenteritisa uzrokovanog rotavirusom. U većini slučajeva simptomi prolaze spontano unutar 6-24 mjeseca. Pri dijagnostici gastropareza u svakodnevnom radu primjenjuju se ultrazvuk abdomena, radiološka pasaža želuca, endoskopske pretrage, scintigrafija i elektrogastrografija. Mogućnosti liječenja su brojne: liječenje specifičnih poremećaja, izobrazba uz psihološku pomoć, prilagođena prehrana, lijekovi, enteralna i parenteralna nutritivna potpora. Od lijekova najkorisniji su prokinetici i antiemetici. U dječjoj dobi se zbog djelotvornosti i sigurnosti preporuča upotrebu eritromicina. Od novijih načina liječenja električna stimulacija želuca (stomach „pace maker“) daje najbolje rezultate.
Abstract (english)	Gastroparesis, or delayed gastric emptying without obstruction, is a chronic disorder caused by stomach pump failure. The prevalence and etiology of gastroparesis in children has not been extensively examined, though postviral gastroparesis (rotavirus) is thought to be the most com mon identifiable cause in children. Typical symptoms of gastroparesis are abdominal fullness or bloating, early satiety, epigastric pain and distress, heartburn, anorexia, nausea, vomiting and weight loss. Several methods have been proposed for quantification of gastric emptying: abdominal ultrasonography, radiographic contrast techniques, gastric emptying scintigraphy, electrogastrography and breath testing for gastroparesis. Initial therapy should be guided by underlying diseases, if existent. Treatment is based on psychological and dietary support and pharmacotherapy. Pharmacotherapy includes prokinetic and antiemetic agents. From a paediatric perspective, prokinetic erythromycin is more efficient, has mild and transient side effects after long-term, low-dose administration. Gastric electrical stimulation seems to be the most promising therapeutic option available at present.
Keywords (croatian)
Keywords (english)
Language	croatian
Publication type	Professional paper - Review paper
Publication status	Published
Peer review	Peer review
Publication version	Published version
Journal title	Paediatria Croatica
Numbering	vol. 54, no. 2, pp. 99-104
p-ISSN	1330-1403
e-ISSN	1846-405X
URN:NBN	urn:nbn:hr:184:387725
Publication	2010
Type of resource	Text
Access conditions	Open access
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Created on	2019-05-06 18:23:54