Fortgeschrittene Techniken in Biologie und Medizin
Offener Zugang

Abstrakt

A Descriptive Study on Causes and Management of Vomiting Among Children Admitted to Gastroenterology and Hepatology Unit of Assiut University Children Hospital

Khaled M Allam, Fardous H Abdel-Aal, Nagla H Abu Faddan

Introduction: Vomiting is a complex behavior. It is usually composed of three linked activities: nausea, retching and expulsion of stomach contents. In a recent comprehensive publication, nausea is defined as unpleasant sensation of the imminent need to vomit, usually referred to the throat or epigastrium; a sensation that may or may not ultimately lead to the act of vomiting. Vomiting, in contrast, is a physical event that results in rapid forceful evacuation of gastric contents in retrograde manner from stomach up to and out of mouth. Patients and methods: One year descriptive cross sectional study included 1301 infants and children admitted to gastro-enterology and hepatology unit of Assiut University Children Hospital during the period from August 2015 to July 2016 presenting with vomiting. Their age varied from 1 month to 17 years, they were 786 male and 515 female. Results: Regarding to the age and with exclusion of gastroenteritis it was found that most common GI cause of vomiting in infancy is Gastro-Esophageal Reflux Disease (GERD) (12%) while most common non-GI causes of vomiting in infancy is respiratory infections (14.7%). In toddler and children, it was found that most common GI cause of vomiting is intussusception (2.2%) while most common non-GI causes of vomiting is meningitis (6.7%). In Adolescences it was found that most common GI cause of vomiting is H. pylori infection (10.4%). Conclusion: From this study we concluded that the commonest cause of vomiting in infancy was GERD while in children was Intussusception and in adolescence was H. pylori infection, the most common surgical cause of vomiting was CHPS, abdominal U/S and gastrograffin were useful tools for diagnosis of CHPS, vomiting with convulsions was most probably due to CNS infection, outcome of both medical and surgical cause was very satisfactory, percentage of infectious gastroenteritis was 96.4%, however bacterial infection was limited to 8.8% of the cases.