Functional gastrointestinal disorders in children: aspects of diagnosis and treatment


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Abstract

The purpose of this review - to provide a classification of functional gastrointestinal disorders in children considering Roman criteria IV, their prevalence, consequences, general pathogenetic mechanisms, diagnosis and treatment principles. Materials and Methods. Analysis of the literature data on the epidemiology of this category of diseases in children; classification according to the international classification of diseases; treatment taking into account modern views on the pathogenesis and actual possibilities of drug therapy. Conclusions. From the positions of the biopsychosocial model in the development of functional disorders, the role of disorders of muconasal homeostasis and microbial contamination is recognized. Taking into account the algorithmic approach to diagnostics, the role of pre- and probiotic drugs (synbiotics) in formation of an effective barrier microbiota of the intestine is shown; they helps to reduce the characteristic clinical manifestations, such as diarrhea or constipation, flatulence, and abdominal pain.

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About the authors

R. R Kildiyarova

Izhevsk State Medical Academy

Email: Kildiyarova@mail.ru
MD, Prof. at the Department of Propaedeutics of Children’s Diseases with the Course of Polyclinic Pediatrics

M. M Gurov

Belgorod State National Research University

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