Profile of gastrointestinal diseases in a pediatric gastroenterology center in Colombia: 15 years of follow-up

Daza, Wilson; Dadán, Silvana; Higuera, Michelle

doi:10.7705/biomedica.v37i3.3313

Cited by 6 publications

(4 citation statements)

References 22 publications

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“…The change may have to do with that parents were more aware about abdominal mischief can be caused by allergies. The other reason is the improvement of scientific diagnostic criteria and medical methods may contribute to increase the diagnose rate of gastrointestinal diseases 21 . The majority of those with gastrointestinal symptoms were allergic to cow's milk.…”

Section: Discussionmentioning

confidence: 99%

Time trends of childhood food allergy in China: Three cross‐sectional surveys in 1999, 2009, and 2019

Lin

Xian

et al. 2021

Pediatric Allergy Immunology

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Background Many countries have recorded the trends of food allergy (FA) prevalence. Little is known about epidemiologic trends of childhood FA in China. Methods In three cross‐sectional surveys conducted in 1999, 2009, and 2019, the prevalence of and characteristic changes in FA in children aged ≤ 2 years were assessed and the outcomes were compared. All the children were recruited during well‐baby check‐ups at the Children's Hospital of Chongqing Medical University. All participants had a detailed medical history taken and underwent skin prick tests using ten commercial food extracts. Open food challenges were used for confirmation of FA. Results The three studies included 1228 children (314 in 1999, 401 in 2009, and 513 in 2019; response rate > 95%). The prevalence of FA in 2009 (7.7%) and 2019 (11.1%) was significantly higher than that in 1999 (3.5%). However, there was no statistically significant difference in prevalence between 2009 and 2019 (P = .086). There was evidence of increased prevalence in CMPA between 1999 and 2019 (1.6% versus 5.7%; P = .004). However, no statistic difference was found in egg allergy (2.9% versus 5.5%; P = .21). The incidence of skin symptoms did not differ significantly over the study period, while the incidence of gastrointestinal symptoms increased significantly (18.2% in 1999, 12.9% in 2009, and 43.9% in 2019; P < .05). Conclusions The prevalence of FA in children rapidly increased after the 1990s and gradually stabilized after 2010. Cow's milk has become the most common food allergen among children in Chongqing. The incidence of gastrointestinal symptoms as a manifestation of FA has increased significantly since 2010.

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Section: Discussionmentioning

confidence: 99%

Time trends of childhood food allergy in China: Three cross‐sectional surveys in 1999, 2009, and 2019

Lin

Xian

et al. 2021

Pediatric Allergy Immunology

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“…(111,112) Malabsorption symptoms, commonly present in CF, may delay the diagnosis of celiac disease. (107,109) Daza et al, in a 4-year follow-up, diagnosed 14.8% patients (4/27) with food allergy, (113) 2.13% (n=230) with celiac disease (111) and 1.24% with pancreatitis. (114) There is currently no scientific justification to restrict gluten, milk and dairy products in the diet of CF patients, unless diagnosed with these conditions (level of evidence 5).…”

Section: Are There Dietary Strategies For Preventing Osteopenia and O...mentioning

confidence: 99%

Brazilian Guidelines for Nutrition in Cystic Fibrosis

Neri¹,

Simon²,

Ambrósio³

et al. 2022

Einstein (São Paulo)

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Objective: To develop a scientific consensus on nutrition in cystic fibrosis. Methods: Sixteen coordinators elaborated relevant questions on nutritional therapy in cystic fibrosis, which were divided into six sections: nutritional assessment, nutritional recommendations, nutritional intervention, dietary counseling, special situations and enzyme replacement, and gastrointestinal manifestations. Two to three specialists in the field were responsible for each section and obtaining answers formulated based on standardized bibliographic searches. The available literature was searched in the PubMed ® /MEDLINE database, after training and standardization of search strategies, to write the best level of evidence for the questions elaborated. Issues related to disagreement were discussed until a consensus was reached among specialists, based on the current scientific literature. Results: Forty-two questions were prepared and objectively answered, resulting in a consensus of nutritional therapy in cystic fibrosis. Conclusion: This work enabled establishing a scientific consensus for nutritional treatment of cystic fibrosis patients.

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“…La alergia alimentaria (AA) es una reacción inmune detonada por un antígeno alimentario (1,2,3). Su incidencia está en aumento en el mundo (4,5). Se han descrito tres mecanismos relacionados con la fisiopatología de la alergia: uno, es mediado por inmunoglobulina E (IgE); otro, por células inmunológicas (no IgE), y un tercero, con mecanismo mixto (6,7).…”

Section: Introductionunclassified

Dificultades de alimentación en pacientes con alergia alimentaria en gastroenterología pediátrica

Dadán¹,

Daza

Carrillo³

2022

Pediatria.

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Introducción: la alergia alimentaria es una respuesta inmunitaria anormal a un antígeno alimentario en la cual los pacientes pueden tener trastornos alimentarios secundarios a la respuesta inmune. Objetivos: describir las dificultades de alimentación en pacientes con alergia alimentaria en un centro de gastroenterología y nutrición en Bogotá D.C. Colombia. Métodos: estudio retrospectivo. Se incluyeron pacientes de 0 a 18 años con diagnóstico de alergia alimentaria, durante el periodo 2013 a 2015. Para comparar las variables de interés, se utilizó la prueba de Fischer. Resultados: se incluyeron un total de 644 pacientes, de los cuales, 109 (16.92 %) presentaban alergia alimentaria y 40 casos (36.69 %) tenían algún tipo de dificultades de alimentación en la que la manifestación más frecuente fue alteración del apetito. Las dificultades de alimentación se presentaron en 62.5 % de los pacientes con alergia alimentaria mediada por mecanismo mixto (p <0.009). La expresión clínica más frecuente fue esofagitis eosinofílica (37.5 %), el apetito selectivo fue el síntoma más común. En los pacientes con alergia alimentaria sin dificultades de alimentación el mediado por inmunoglobulina E fue proporcionalmente mayor (52.17 %). Las dificultades de alimentación se encontraron con mayor frecuencia en varones (55 %) y lactantes (77.5 %) con una edad media de 13.3 meses. Más de la mitad de los pacientes con alergia alimentaria y dificultades de alimentación presentaban estado nutricional normal (55 %). Entre los antecedentes de importancia para las dificultades de alimentación se presentó: la hospitalización previa (52.5 %), la alimentación nasogástrica u orogástrica (15 %) e historia de prematuridad (5 %). Conclusiones: las dificultades de alimentación parecen presentarse más frecuentemente en alergia alimentaria de mecanismo mixto, y dentro de ellas, principalmente con la esofagitis eosinofílica. Las dificultades de alimentación en los pacientes con alergia alimentaria pueden orientar al médico y al nutricionista acerca de la necesidad de iniciar un manejo interdisciplinario y preventivo para evitar o minimizar las dificultades de alimentación y sus impactos.

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Profile of gastrointestinal diseases in a pediatric gastroenterology center in Colombia: 15 years of follow-up

Cited by 6 publications

References 22 publications

Time trends of childhood food allergy in China: Three cross‐sectional surveys in 1999, 2009, and 2019

Time trends of childhood food allergy in China: Three cross‐sectional surveys in 1999, 2009, and 2019

Brazilian Guidelines for Nutrition in Cystic Fibrosis

Dificultades de alimentación en pacientes con alergia alimentaria en gastroenterología pediátrica

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