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Abstract Background/Aims: Considering the etiology of cyclic vomiting syndrome (CVS) in childhood, a variety of underlying organic causes has been clearly identified in the literature. The aim of this study was to emphasize that endoscopic evaluation in the first step may help diagnosis and treatment in patients with CVS, unlike the CVS-related “North American Society for Pediatric Gastroenterology, Hepatology and Nutrition” (NASPGHAN) consensus statement in 2008. Materials and Methods: The medical files of patients with vomiting complaints admitted to our tertiary center between the years 2007 and 2012 were analyzed retrospectively. Patients were identified according to the International Classification of Diseases (ICD) codes at their initial presentation, including vomiting. Results: A total of 815 patients with vomiting complaints were evaluated. Of the 379 patients who presented with vomiting only, 336 patients were already being followed for chronic vomiting. Cyclic vomiting was detected in 31 out of 336 patients. Conclusion: In our series, familial Mediterranean fever (FMF), cavernous transformation of the portal vein, and Helicobacter pylori (HP) gastritis presented with CVS for the first time in the pediatric age group. We emphasize that endoscopic evaluation in patients with CVS should be performed as the first step for appropriate diagnosis and treatment.
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Article Info
Published In
Journal
Turkish Journal of Gastroenterology
Volume / Issue
Volume 26 · Issue 6
Pages
461-467
History
Published Online
November 15, 2015
Copyright
Copyright (c) 2015 Ödül Egritaş Gürkan, Aysel Ünlüsoy Aksu, Zeliha Demirtaş, Buket Dalgıç
Affiliations
Ödül Egritaş Gürkan
Department of Pediatric Gastroenterology, Gazi University Faculty of Medicine, Ankara, Turkey
Aysel Ünlüsoy Aksu
Departments of Pediatric Gastroenterology, Gazi University School of Medicine, Ankara
Zeliha Demirtaş
Department of Pediatric Gastroenterology, Gazi University Faculty of Medicine, Ankara, Turkey
Buket Dalgıç
Departments of Pediatric Gastroenterology, Gazi University School of Medicine, Ankara
Cite this Article
Egritaş Gürkan, Ödül, Ünlüsoy Aksu, A., Demirtaş, Z., & Dalgıç, B. (2015). Rare disorders can be an underlying cause of cyclic vomiting: Familial Mediterranean fever, Helicobacter pylori gastritis, and cavernous transformation of the portal vein. Turkish Journal of Gastroenterology, 26(6), 461–467. https://doi.org/10.5152/tjg.2015.0015
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