Follow-Up and Community Care of the Child With a Chronic Disease

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DOI :10.26650/B/CH32.2024.010.015   IUP :10.26650/B/CH32.2024.010.015    Full Text (PDF)

Follow-up and Community Care of the Child with Chronic Gastrointestinal System Disease

Elif Türkmen, Özlem Durmaz

The population of children and adults with chronic diseases is increasing gradually, and chronic diseases constitute the most important health problem worldwide. One of the most common reasons for hospital admission in children is gastrointestinal system (GIS) diseases. Inflammatory bowel disease, eosinophilic gastrointestinal (GI) diseases, chronic pancreatitis, and celiac disease are the most common chronic GI diseases. These children with GIS diseases may present with symptoms such as diarrhea, constipation, vomiting, abdominal pain, and malnutrition. Chronic diseases of the GI tract are a group of multifactorial diseases that progresses with exacerbations and remissions, resulting mainly from uncontrolled inflammation. Due to the clinical symptoms and treatment procedures (frequent hospitalizations, drugs, and side effects), the child and family can be affected negatively in terms of psychosocial aspects. It may end up with complications such as malnutrition, malabsorption, and reduced bone mineral density/osteoporosis. In addition to the restricted diets applied as a treatment modality, a decrease in food intake (anorexia), the need for frequent hospitalization, feelings of pain and suffering, and other problems are encountered in the areas of cognitive, physical, and psychosocial development; psychosocial problems, such as difficulties in establishing relationships, fear of death, long-term separation from family and friends, and social exclusion, may also occur. At the same time, school life is interrupted, and children’s adaptation to school is affected. In conclusion, it is important to follow and manage all patients with chronic GIS diseases, in a multidisciplinary manner, both physically and psychologically.


Keywords: Pediatric patients, chronic gastrointestinal system disease, follow-up, management
DOI :10.26650/B/CH32.2024.010.015   IUP :10.26650/B/CH32.2024.010.015    Full Text (PDF)

Kroni̇k Gastroi̇ntesti̇nal Si̇stem Hastalığı Olan Çocuğun İzlemi̇ ve Toplumda Bakımı

Elif Türkmen, Özlem Durmaz

Kronik hastalığı olan çocuk ve erişkin nüfusu her geçen gün artmakta ve kronik hastalıklar tüm dünyada en önemli sağlık sorununu oluşturmaktadır. Çocuklarda en sık hastaneye başvuru nedenlerinden biri gastrointestinal sistem hastalıklarıdır. İnflamatuar barsak hastalığı, eozinofilik gastrointestinal hastalıkları, kronik pankreatit ve çölyak hastalığı en sık görülen kronik gastrointestinal sistem hastalıklarıdır. Kronik gastrointestinal hastalığı olan çocuklar ishal, kabızlık, kusma, karın ağrısı ve yetersiz beslenme gibi semptomlarla başvurabilirler. Kronik gastrointestinal sistem hastalıkları; multifaktöryel, alevlenme ve remisyon ataklarıyla seyreden ve genel olarak kontrolsüz enflamasyon sonucu gelişen bir hastalık grubudur. Klinik semptomlar ve uygulanan tedavi yöntemleri (hastaneye sık yatış, ilaçlar ve yan etkileri) nedeniyle çocuk ve ailenin psiko-sosyal açıdan olumsuz etkilenmesine yol açabilmektedir.. Malnütrisyon, malabsorbsiyon ve kemik mineral yoğunluğunda azalma/osteoporoz gibi komplikasyonlarla seyredebilir. Tedavide uygulanan kısıtlı diyet, besin alımında azalma (iştahsızlık), sık hastaneye yatış ihtiyacı, ağrı ve acı hissinin yanı sıra, bilişsel, fiziksel ve psiko-sosyal gelişim alanlarında sıkıntı yaşanmakta, ilişki kurma/kuramama, ölüm korkusu, aileden ve arkadaşlardan uzun süreli ayrılık ve sosyal dışlanma gibi durumlar meydana gelebilmektedir. Aynı zamanda okul yaşamı kesintiye uğrayarak çocukların okula uyumu etkilenmektedir. Sonuç olarak kronik gastrointestinal sistem hastalığı olan tüm çocukların hem fiziksel hem de psikolojik açıdan multidisipliner olarak takip ve tedavi edilmeleri önemlidir.


Keywords: Çocuk, hasta, kronik gastrointestinal sistem hastalığı, izlem, yönetim

References

  • 1. Durna Z. Kronik Hastalıklar ve Önemi. Durna Z, editor. Kronik Hastalıklar ve Bakım. İstanbul: Nobel Tıp Kitabevleri, 2012.p.1-8. google scholar
  • 2. Ünal B, Ergör G, Horasan GD Kalaça S, Sözmen K. Türkiye Kronik Hastalıklar ve Risk Faktörleri Sıklığı Çalışması. Ünal B, Ergör, Editorler. Sağlık Bakanlığı Yayın No: 909. Ankara: Anıl Matbaa Ltd Şti; 2013. p.207-35. google scholar
  • 3. Rosen MJ, Dhawan A, Saeed SA. Inflammatory Bowel Disease in Children and Adolescents. JAMA Pe-diatr. 2015; 169(11): 1053-60. google scholar
  • 4. Hartman, C, Eliakim R, Shamir R. Nutritional status and nutritional therapy in inflammatory bowel dise-ases. World J Gastroenterol. 2009; 15(21):2570-78. google scholar
  • 5. Karmiris K, Koutroubakis IE, Kouroumalis EA. Leptin, adiponectin, resistin, and ghrelin--implications for inflammatory bowel disease. Mol Nutr Food Res. 2008;52(8):855-66. google scholar
  • 6. Heuschkel R, Salvestrini C, Beattie RM, Hildebrand H, Walters T, Griffiths A. Guidelines for the manage-ment of growth failure in childhood inflammatory bowel disease. Inflamm Bowel Dis. 2008;14(6):839-49. google scholar
  • 7. Abraham BP, Mehta S, El-Serag HB. Natural history of pediatric-onset inflammatory bowel disease: a systematic review. J Clin Gastroenterol. 2012;46(7):581-9. google scholar
  • 8. Walters TD, Griffiths AM. Growth impairment in pediatric inflammatory bowel disease. In: Mamula, P, Markowitz J, Baldassano R. Editors. Pediatric Inflammatory Bowel Disease. Springer, New York. 2013. p.109-125. google scholar
  • 9. Seung Kim, Hong Koh. Nutritional aspect of pediatric inflammatory bowel disease: its clinical importance. Korean J Pediatr. 2015;58(10):363-8. google scholar
  • 10. Ghishan FK, Kiela PR. Advances in the understanding of mineral and bone metabolism in inflammatory bowel diseases. Am J Physiol Gastrointest Liver Physiol 2011;300(2):191-201. google scholar
  • 11. Song SM, Kim Y, Oh SH, Kim KM. Nutritional status and growth in Korean children with Crohn’s disease: a single-center study. Gut Liver. 2014;8(5):500-7. google scholar
  • 12. Pappa HM, Gordon CM, Saslowsky TM, Zholudev A, Horr B, Shih MC, et al. Vitamin D status in children and young adults with inflammatory bowel disease. Pediatrics. 2006; 118(5):1950-61. google scholar
  • 13. Alkhouri RH, Hashmi H, Baker RD, Gelfond D, Baker SS. Vitamin and mineral status in patients with inflammatory bowel disease. J Pediatr Gastroenterol Nutr. 2013;56(1):89-92. google scholar
  • 14. Rothfuss KS, Stange EF, Herrlinger KR. Extraintestinal manifestations and complications in inflammatory bowel diseases. World J Gastroenterol. 2006;12(30):4819-31. google scholar
  • 15. Bissell AD. Localized chronic ulcerative ileitis. Ann Surg. 1934;99(6):957-66. google scholar
  • 16. de Zoeten EF, Pasternak BA, Mattei P, Kramer RE, Kader HA. Diagnosis and treatment of perianal Crohn disease: NASPGHAN clinical report and consensus statement. J Pediatr Gastroenterol Nutr. 2013;57(3):401-12. google scholar
  • 17. Votto M, De Filippo M, Olivero F, Raffaele A, Cereda E, De Amici M, et al. Malnutrition in Eosinophilic Gastrointestinal Disorders. Nutrients. 2020;13(1):128. google scholar
  • 18. Egritas Gurkan O, Ozturk H, Karagol HIE, Ceylan K, Duztas DT, Ekinci O, et al. Primary Eosinophi-lic Gastrointestinal Diseases Beyond Eosinophilic Esophagitis in Children. J Pediatr Gastroenterol Nutr. 2021;72(2):294-9. google scholar
  • 19. Licari A, Votto M, D’Auria E, Castagnoli R, Caimmi SME, Marseglia GL. Eosinophilic Gastrointestinal Diseases in Children: A Practical Review. Curr Pediatr Rev. 2020;16(2):106-14. google scholar
  • 20. Blanchard C, Wang N, Stringer KF, Mishra A, Fulkerson PC, Abonia JP, et al. Eotaxin-3 and a uniquely conserved gene-expression profile in eosinophilic esophagitis. J Clin Invest. 2006;116(2):536-47. google scholar
  • 21. Sherrill JD, Rothenberg ME. Genetic dissection of eosinophilic esophagitis provides insight into disease pathogenesis and treatment strategies. J Allergy Clin Immunol. 2011;128(1):23-32. google scholar
  • 22. Harris RF, Menard-Katcher C, Atkins D, Furuta GT, Klinnert MD. Psychosocial dysfunction in children and adolescents with eosinophilic esophagitis. J Pediatr Gastroenterol Nutr. 2013;57(4):500-5. google scholar
  • 23. Alhmoud T, Hanson JA, Parasher G. Eosinophilic Gastroenteritis: An Underdiagnosed Condition. Dig Dis Sci. 2016;61(9):2585-92. google scholar
  • 24. Hoofien A, Dias JA, Malamisura M, Rea F, Chong S, Oudshoorn J, et al. Pediatric Eosinophilic Esopha-gitis: Results of the European Retrospective Pediatric Eosinophilic Esophagitis Registry (RetroPEER). J Pediatr Gastroenterol Nutr. 2019;68(4):552-8. google scholar
  • 25. Slack MA, Ogbogu PU, Phillips G, Platts-Mills TA, Erwin EA. Serum vitamin D levels in a cohort of adult and pediatric patients with eosinophilic esophagitis. Ann. Allergy Asthma Immunol. 2015;115(1):45-50. google scholar
  • 26. Morinville VD, Husain SZ, Bai H, Barth B, Alhosh R, Durie PR, et al. INSPPIRE Group. Definitions of pe-diatric pancreatitis and survey of present clinical practices. J Pediatr Gastroenterol Nutr. 2012;55(3):261-5. google scholar
  • 27. Schwarzenberg SJ, Bellin M, Husain SZ, Ahuja M, Barth B, Davis H, et al. Pediatric chronic pancreatitis is associated with genetic risk factors and substantial disease burden. J Pediatr. 2015;166(4):890-6. google scholar
  • 28. Kolodziejczyk E, Wejnarska K, Dadalski M, Kierkus J, Ryzko J, Oracz G. The nutritional status and factors contributing to malnutrition in children with chronic pancreatitis. Pancreatology. 2014;14(4):275-9. google scholar
  • 29. Dalgic B, Sari S, Basturk B, Ensari A, Egritas O, Bukulmez A, Baris Z; Turkish Celiac Study Group. Pre-valence of celiac disease in healthy Turkish school children. Am J Gastroenterol. 2011 Aug;106(8):1512-7. google scholar
  • 30. Sahin Y. Celiac disease in children: A review of the literature. World J Clin Pediatr. 2021;9;10(4):53-71. google scholar
  • 31. Lebwohl B, Rubio-Tapia A, Assiri A, Newland C, Guandalini S. Diagnosis of celiac disease. Gastrointest Endosc Clin N Am. 2012; 22(4): 661-77. google scholar
  • 32. Caio G, Volta U, Sapone A, Leffler DA, De Giorgio R, Catassi C, et al. Celiac disease: a comprehensive current review. BMC Med. 2019;17(1):142. google scholar
  • 33. Sahin Y. The Frequency of Celiac Disease in Siblings of Celiac Patients. EC Paediatrics. 2019;2:154-7. google scholar
  • 34. Greco L, Romino R, Coto I, Di Cosmo N, Percopo S, Maglio M, et al. The first large population based twin study of coeliac disease. Gut. 2002;50(5):624-8. google scholar
  • 35. Husby S, Koletzko S, Korponay-Szabo IR, Mearin ML, Phillips A, Shamir R, et al.; ESPGHAN Working Group on Coeliac Disease Diagnosis; ESPGHAN Gastroenterology Committee; European Society for Pediatric Gastroenterology, Hepatology, and Nutrition. European Society for Pediatric Gastroenterology, Hepatology, and Nutrition guidelines for the diagnosis of coeliac disease. J Pediatr Gastroenterol Nutr. 2012; 54(1):136-60. google scholar
  • 36. Volta U, Caio G, Boschetti E, Giancola F, Rhoden KJ, Ruggeri E, et al. Seronegative celiac disease: Shed-ding light on an obscure clinical entity. Dig Liver Dis. 2016;48(9):1018-22. google scholar
  • 37. Conrad MA, Rosh JR. Pediatric Inflammatory Bowel Disease. Pediatr Clin North Am. 2017;64(3):577-91. google scholar
  • 38. Massironi S, Rossi RE, Cavalcoli FA, Della Valle S, Fraquelli M, Conte D. Nutritional deficiencies in inflammatory bowel disease: therapeutic approaches. Clin Nutr. 2013;32(6):904-10. google scholar
  • 39. Freeman AJ, Maqbool A, Bellin MD, Goldschneider KR, Grover AS, Hartzell C, et al. Medical Mana-gement of Chronic Pancreatitis in Children: A Position Paper by the North American Society for Pe-diatric Gastroenterology, Hepatology, and Nutrition Pancreas Committee. J Pediatr Gastroenterol Nutr. 2021;72(2):324-40. google scholar
  • 40. Bishop J, Ravikumara M. Coeliac disease in childhood: An overview. J Paediatr Child Health. 2020; 56(11):1685-93. google scholar
  • 41. Mearin ML, Agardh D, Antunes H, Al-Toma A, Auricchio R, Castillejo G, et al. ; ESPGHAN Special Interest Group on Celiac Disease. ESPGHAN Position Paper on Management and Follow-up of Children and Adolescents With Celiac Disease. J Pediatr Gastroenterol Nutr. 2022;75(3):369-86. google scholar
  • 42. Ruemmele FM, Veres G, Kolho KL, Griffiths A, Levine A, Escher JC, et al. European Crohn’s and Colitis Organisation; European Society of Pediatric Gastroenterology, Hepatology and Nutrition. Consensus gu-idelines of ECCO/ESPGHAN on the medical management of pediatric Crohn’s disease. J Crohns Colitis. 2014;8(10):1179-207. google scholar
  • 43. Lane ER, Lee D, Suskind DL. Dietary Therapies in Pediatric Inflammatory Bowel Disease: An Evolving Inflammatory Bowel Disease Paradigm. Gastroenterol Clin North Am. 2017;46(4):731- 44. google scholar
  • 44. Souza GN, Draghi PF, Yonamine GH. Oral and Enteral Nutrition Therapy in Inflammatory Bowel Diseases Among the Pediatric Population: A Literature Review. Rev Paul Pediatr. 2020;38:e2019032. google scholar
  • 45. Cucinotta U, Romano C, Dipasquale V. Diet and Nutrition in Pediatric Inflammatory Bowel Diseases. Nutrients. 2021;13(2):655. google scholar
  • 46. Miele E, Shamir R, Aloi M, Assa A, Braegger C, Bronsky J, et al. Nutrition in Pediatric Inflammatory Bowel Disease: A Position Paper on Behalf of the Porto Inflammatory Bowel Disease Group of the European Society of Pediatric Gastroenterology, Hepatology and Nutrition. J Pediatr Gastroenterol Nutr. 2018;66(4):687-70. google scholar
  • 47. Lucendo AJ, De Rezende LC. Importance of nutrition in inflammatory bowel disease. World J Gastroen-terol. 2009;15(17):2081-8. google scholar
  • 48. Massironi S, Rossi RE, Cavalcoli FA, Della Valle S, Fraquelli M, Conte D. Nutritional deficiencies in inflammatory bowel disease: therapeutic approaches. Clin Nutr. 2013;32(6):904-10. google scholar
  • 49. Molina-Infante J. Nutritional and Psychological Considerations for Dietary Therapy in Eosinophilic Esop-hagitis Nutrients. 2022;14(8): 1588. google scholar
  • 50. Duggan SN, Smyth ND, O’Sullivan M, Feehan S, Ridgway PF, Conlon KC. The prevalence of malnutrition and fat-soluble vitamin deficiencies in chronic pancreatitis. Nutr Clin Pract. 2014;29(3):348-54. google scholar
  • 51. Abu-El-Haija M, Uc A, Werlin SL, Freeman AJ, Georgieva M, Jojkic-Pavkov D, et al. Nutritional Con-siderations in Pediatric Pancreatitis: A Position Paper from the NASPGHAN Pancreas Committee and ESPGHAN Cystic Fibrosis/Pancreas Working Group. J Pediatr Gastroenterol Nutr. 2018;67(1):131-43. google scholar
  • 52. Rubin LG, Levin MJ, Ljungman P, Davies EG, Avery R, Tomblyn M,et al. 2013 IDSA clinical practice guideline for vaccination of the immunocompromised host. Clin Infect Dis. 2014;58(3):44-100. google scholar
  • 53. Esposito S, Antoniol G, Labate M, Passadore L, Alvisi P, Daccö V, et al. Vaccines in Children with Inflam-matory Bowel Disease: Brief Review. Vaccines (Basel). 2021;9(5):487. google scholar
  • 54. WHO guidelines on physical activity and sedentary behaviour: at a glance. World Health Organization 2020. google scholar
  • 55. Riner WF, Sellhorst SH. Physical activity and exercise in children with chronic health conditions. Journal of Sport and Health Science. 2013;2(1):12-20. google scholar
  • 56. Mackner LM, Greenley RN, Szigethy E, Herzer M, Deer K, Hommel KA. Psychosocial issues in pediatric inflammatory bowel disease: report of the North American Society for Pediatric Gastroenterology, Hepa-tology, and Nutrition. J Pediatr Gastroenterol Nutr. 2013;56(4):449-58. google scholar
  • 57. Yıldırım İ. Algılanan Sosyal Destek Ölçeğinin Geliştirilmesi, Güvenirliği ve Geçerliği. Hacettepe Üniversitesi Eğitim Fakültesi Dergisi. 1997;13:81-7. google scholar
  • 58. Tovar MG. Gastrointestinal Disorders and Psychology. Gastroenterology Medicine & Research (GMR). 2021;6(3):533-34. google scholar


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