Navegando por Palavras-chave "Functional Gastrointestinal Disorders"
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- ItemAcesso aberto (Open Access)Prevalência de distúrbios gastrointestinais funcionais em lactentes nascidos prematuros(Universidade Federal de São Paulo (UNIFESP), 2019-12-02) Gondim, Marcela Montenegro Braga Barroso [UNIFESP]; Morais, Mauro Batista de [UNIFESP]; Goulart, Ana Lucia [UNIFESP]; http://lattes.cnpq.br/5519219079407797; http://lattes.cnpq.br/5056114729141952; Universidade Federal de São Paulo (UNIFESP)Objective: To compare the prevalence of functional gastrointestinal disorders in preterm infants with those of term infants using the Rome IV criteria. Additionally, to evaluate whether invasive procedures during the neonatal period are associated with a higher chance of developing functional gastrointestinal disorders in preterm infants. Methods: Controlled cross-sectional study nested in a retrospective cohort of preterm infants who were compared with term infants for functional gastrointestinal disorders. In the preterm group, infants born with a gestational age <37 weeks were included in the study, and in the term group, infants born with a gestational age > 37 weeks and with a birth weight above 2500 grams were included. A face-to-face medical consultation was performed by a single pediatric gastroenterologist for information on the gestational and neonatal period and information on clinical digestive manifestations. Rome IV criteria were used for diagnosing functional gastrointestinal disorders.Results: We studied 197 infants (<24 months), 99 preterm infants and 98 term infants. Infant regurgitation was more prevalent in term infants (35.1% and 15.6%, p <0.001). The prevalence of other functional gastrointestinal disorders in preterm infants was not different, according to statistical analysis, compared to term infants, respectively: infant colic (10.7% and 4.3%; p= 0.360), functional constipation (17.2% and 9.2%; p= 0.098), functional diarrhea (4.6% and 0.0%; p= 0.274) and infant dyschezia (9.3% and 7.5%; p= 0.735). No relationship was found between invasive procedures performed in the neonatal period and higher risk for developing functional gastrointestinal disorders in preterm infants. Conclusion: In the studied population, preterm infants had no higher prevalence of functional gastrointestinal disorders. No relation was found in preterm infants with invasive diagnostic and therapeutic procedures and the development of gastrointestinal manifestations.