Outcome for children with cyclical vomiting syndrome

Fitzpatrick, E.; Bourke, B.; Drumm, B.; Rowland, M.
November 2007
Archives of Disease in Childhood;Nov2007, Vol. 92 Issue 11, p1001
Academic Journal
Objective: Cyclical vomiting syndrome (CVS) is a disorder that carries a significant burden of disease for children and their families. The aim of this study was to examine the outcome of a group of children diagnosed with CVS from 1993 to 2003. Methods: Children diagnosed with CVS over a 10-year period were identified and a review of the clinical records was carried out to define demographic features and the spectrum of disease at presentation. The patient's parent was contacted to establish the child's current well-being. Ethical approval for the study was obtained. Results: Fifty one children were diagnosed with CVS and 41 agreed to participate in follow-up. Mean age was 5.8 (SD 3.3) years at onset of CVS, 8.2 (SD 3.5) years at diagnosis, and 12.8 (SD 4.8) years at follow-up. Vomiting had resolved at the time of follow-up in 25/41 (61%) children. Sixteen of 41 (39%) children reported resolution of symptoms either immediately or within weeks of diagnosis. However, a large number of children from the group whose vomiting resolved and the group that were still vomiting continued to have somatic symptoms, with 42% of children suffering regular headaches and 37% having abdominal pain. 32 (78%) parents felt that the provision of a positive diagnosis and information made a significant impact on the severity of vomiting. Conclusions: While 60% of children with CVS have resolution of symptoms, a significant proportion of both those in whom symptoms have resolved and those in whom vomiting persists continue to suffer from other somatic symptoms.


Related Articles

  • Abdominal pain, nausea, and vomiting in a 10-year-old girl. Schucany, William G. // Baylor University Medical Center Proceedings;Apr2009, Vol. 22 Issue 2, p164 

    The article presents a case study of a 10-year-old white girl who was brought to the emergency department for extreme abdominal pain, nausea and vomiting. The patient began complaining of the pain the previous morning and the pain was progressive all over day and night, and the patient was...

  • Scary kids' symptoms that shouldn't alarm you. Kusek, Kristyn // Redbook;May99, Vol. 193 Issue 1A, p172 

    Outlines some common ailments of children. Symptoms of abdominal pain; Causes of projectile vomiting; When to consult physicians.

  • A child with upper abdominal pain and pancreatitis. Talukdar, R.; Chaudhuri, D.; Vora, P.; Khanna, S.; Saikia, N.; Mazumder, S.; Kumar, A. // Gut;Jan2008, Vol. 57 Issue 1, p103 

    The article presents the case of a child with upper abdominal pain and pancreatitis. It states that the pain was related with vomiting and nausea and that there was also radiation of pain to the back. Upon examination, it was identified that he is afebrile, and that his vitals were stable and he...

  • Reduce the occurrence of postoperative vomiting (POV) in children with appropriate anti-emetic prophylaxis.  // Drugs & Therapy Perspectives;Feb2008, Vol. 24 Issue 2, p19 

    Postoperative vomiting (POV) in children is a common complication associated with surgery. In moderate- and high-risk patients, reducing baseline risk factors (e.g. by choosing an optimal anaesthetic) and appropriate prophylactic intervention may help to reduce the incidence of POV

  • Gastrointestinal tract duplications in children. OKUR, M. H.; ARSLAN, M. S.; ARSLAN, S.; AYDOGDU, B.; TÜRKÇÜ, G.; GOYA, C.; UYGUN, I.; CIGDEM, M. K.; ÖNEN, A.; OTCU, S. // European Review for Medical & Pharmacological Sciences;May2014, Vol. 18 Issue 10, p1507 

    AIM: Gastrointestinal tract duplications (GTD) are rare congenital abnormalities that can occur anywhere along the gastrointestinal tract. These anomalies may present as a single, multiple, or a vague pathologies. Diagnosing and treating these diseases may be difficult in some patients. We aimed...

  • Shock, Urticaria and a Right Upper Quadrant Abdominal Mass. Abrishami, M.A. // Clinical Pediatrics;Jun1975, Vol. 14 Issue 6, p602 

    The article discusses a case of shock, utricaria and a right upper quadrant abdominal mass in a ten-year-old girl. The girl was admitted with fever, chills, abdominal pain and headache of three days' duration. Her physical examination showed that she was in shock, with cold clammy skin,...

  • Contralateral exploration is not mandatory in unilateral inguinal hernia in children: a prospective 6-year study. Nassiri, Javad S. // Pediatric Surgery International;Jul2002, Vol. 18 Issue 5/6, p470 

    Contralateral exploration (CE) in children with a unilateral inguinal hernia (IH) is still controversial. To define the necessity of CE in unilaterally-presenting IH, all patients who had been operated upon unilaterally in a 6-year period and were followed for 4–10 years had annual...

  • Epiploic Appendagitis: A Rare, Often Missed Diagnosis. Apakama, Chukwuma T.; Zelada Getty, Jorge L.; Stolyarov, Yana; Ponnapalli, Sarma // American Surgeon;May2011, Vol. 77 Issue 5, p653 

    The article describes three cases of epiploic appendagitis exhibiting three different representations. First case is a 38-year-old male who have left lower quadrant abdominal pain without vomiting, fever or nausea. Another case was a 23-year-old male with left lower quadrant pain, afebrile and...

  • Independent Nurse: Clinical focus - Cyclical vomiting syndrome. Chong, Sonny K. F. // GP: General Practitioner;1/26/2007, p102 

    The article presents information on the diagnosis and treatment of cyclical vomiting syndrome in children. It is stated that this is a condition of idiopathic disorder with cyclic vomiting. The article informs that the disease is characterized by recurrent, self-limiting episodes of intractable...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics