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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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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

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

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

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 18 July 2024)

Palčevski G, Peršić M. Gastropareza u dječjoj dobi: egzotika ili svakodnevni problem?. Paediatria Croatica [Internet]. 2010 [cited 2024 July 18];54(2):99-104. Available at: https://urn.nsk.hr/urn:nbn:hr:184:387725

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: 18 July 2024]

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Metadata
Title (croatian)Gastropareza u dječjoj dobi: egzotika ili svakodnevni problem?
Title (english)Gastroparesis in childhood: fiction or daily problem?
AuthorGoran Palčevski
AuthorMladen Peršić
Author's institutionUniversity 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)
Languagecroatian
Publication typeProfessional paper - Review paper
Publication statusPublished
Peer reviewPeer review
Publication versionPublished version
Journal titlePaediatria Croatica
Numberingvol. 54, no. 2, pp. 99-104
p-ISSN1330-1403
e-ISSN1846-405X
URN:NBNurn:nbn:hr:184:387725
Publication2010
Type of resourceText
Access conditionsOpen access
Terms of useLicence Attribution-NonCommercial-NoDerivs 3.0 Unported (CC BY-NC-ND 3.0) icon
Created on2019-05-06 18:23:54