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Similar Publications

Diagnostic characteristics of pediatric cyclic vomiting syndrome.

J Pediatr Gastroenterol Nutr

December 2024

Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.

Objectives: Cyclic vomiting syndrome (CVS) remains a diagnostic challenge due to its nonspecific presentation despite consensus-based diagnostic criteria. There is a need for improved, evidence-based diagnostic criteria. We hypothesized that symptoms differ quantitatively between children with CVS versus other vomiting conditions and that current diagnostic criteria are not sufficiently sensitive for diagnosing CVS.

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Article Synopsis
  • A study was conducted to understand the symptom patterns and natural history of cyclic vomiting syndrome (CVS) in adults over a 6-month period using daily electronic diaries.
  • The research involved 93 enrolled patients, with 88 providing data; a significant number experienced CVS episodes, with a median of 0.6 episodes per month, lasting around 3 days on average.
  • The findings indicate variability in episode patterns and emphasize the need for more precise definitions and characterizations of CVS episodes for better understanding and management of the condition.
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Acupuncture and electroacupuncture for cyclic vomiting syndrome with tachygastria in an adult: A case report.

Medicine (Baltimore)

December 2024

Division of Digestive Diseases, Department of Korean Internal Medicine, Kyung Hee University College of Korean Medicine, Kyung Hee University Korean Medicine Hospital, Seoul, Republic of Korea.

Rationale: Cyclic vomiting syndrome (CVS) is characterized by recurrent episodes of acute vomiting lasting <1 week, occurring independently and chronically. Management typically involves lifestyle interventions, supportive care, and preventative medication. In rare cases, CVS persists for decades in adults, requiring a multidisciplinary approach to improve symptoms and quality of life.

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Background: Abdominal pain and vomiting are frequent complaints for pediatric patients presenting to the Emergency Department (ED). When a diagnosis such as chronic abdominal pain, cyclic vomiting, or abdominal migraine has previously been made, it can lead to diagnostic momentum and confirmation bias on behalf of the treating physician. Dietl's crisis is a commonly missed diagnosis in the pediatric population that presents with intermittent episodes of pain and vomiting.

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