A large-scale study to describe the prevalence, characteristics and management of functional gastrointestinal disorders in African infants

Acta Paediatrica
Marc BellaicheYvan Vandenplas

Abstract

To evaluate the pattern, impact on quality of life and management of common functional gastrointestinal disorders (FGIDs) and related signs and symptoms in infants below 1 year of age in Africa. Multicentre, cross-sectional, observational study in 10 African countries. At the first paediatric consultation of children with gastrointestinal symptoms, the perception of paediatricians on FGIDs (infant colic, constipation and regurgitation) and gas/bloating, impact on infant quality of life and parental anxiety and patient management practices were evaluated by standardised questionnaires. Questionnaires were completed by 759 paediatricians for 10 812 infants. Overall, 49.9% of paediatricians reported ≥30% of first infant consultations each month for FGIDs or related symptoms. Infant colic was most commonly diagnosed (57.6% of infants), followed by gas/bloating (43.2%), regurgitation (39.7%) and constipation (31.4%). Overall, 53% presented >1 symptom. Mean scores for infant quality of life, sleep and parental anxiety were worse when children had multiple symptoms compared to children with a single symptom (P < .025). Prescription of medication was common (62.4%). There were no consistent differences between countries. Functional gas...Continue Reading

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Citations

Mar 19, 2021·BMC Pediatrics·Ying HuangMarc Alexander Benninga
Aug 22, 2021·Journal of Pediatric Gastroenterology and Nutrition·Marc BellaicheYvan Vandenplas

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