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The Children’s Faecal Matter Structure Is Built by Their Parents

Open Journal of Epidemiology 2019年第1期9卷 64-74页

作者： Eduard Cueto Rua Ricardo Wright Cecilia Zubiri Luciana Guzmán Claudia Losada M. Inés Urrutia maría T. Gonzalez Ricardo Drut mariela Espósito Norberto Recalde Jorge Fiad Ignacio Goni Natalia Belén maría cristina arregui Facultad de Ciencias Médicas Universidad Nacional de La Plata La Plata Argentina Comisión de Investigación Científica de la Provincia de Buenos Aires Buenos Aires Argentina Pediatric Hospital “Sor maría Ludovica” La Plata Argentina Universidad Nacional de La Plata La Plata Argentina Consultant in Pediatrics Mar del Plata City Argentina Dolores City Argentina

Introduction: Humans have gone through physical changes over the last 4 million years. The mouth, however, has not changed teeth quantity or quality. Eight incisors for fruits, vegetables and tubers;four little canines for little animals;eight premolars and twelve flat molars are used for crushing these foods, especially whole grains and legumes. The teeth crushing foods are the first step in the building of faecal matter. Foods are selected mostly according to cultural guidelines than to biological needs. The patterns of consumption are induced by the publicity of industrialized or processed foods. Material and Methods: This study design was observational, analytical, correlational, transversal and prospective. One thousand children (0 - 12 years old) were questioned in order to learn about the relationship between Weekly Eating Frequency (WEF) and Faecal Matter (FM) characteristics. The FM was classified as soft, normal or hard and the outcome was expressed as Dry Faecal Residue (DFR). The WEF and Weekly Bowel Movement Frequency (WBMF) were determined and tabulated according to times per week. Environmental factors, parents’ education level and children’s birth order were examined. Results: There was a strong association between DFR, WBMF and WEF. Environment and education level did not play a key role although birth order did matter. Conclusions: Fibre-free foods (dairies, meats, flours and sweeties or sodas) increased DFR. Foods containing fibre from vegetables decreased DFR, which in turn contributed to the WBMF. Lowest DFR was observed in children under Exclusive Breastfeeding (EB). Distant last-born children had higher DFR. Comments: Daily examples support these results and it is clear that children’s FM is built by their parents. We encourage parents to follow the “mouth nature” rather than the “advertisements nature”.

关键词： Bowel Movement Frequency Constipation Culture Faecal Matter Foods

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High-Resolution Esophageal Manometry in Teenagers with Esophageal Atresia

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Open Journal of Epidemiology 2020年第1期10卷 81-89页

作者： Cecilia Zubiri Rosa Ramos Cecilia Curvale Raúl Matanó Paula Borobia Anabella Zosi Verónica Garrido Julieta Hernández Lucía Gutierrez Luciana Guzmán maría cristina arregui marina Prozzi Sandro Miculan Viviana Bernedo Maximiliano Fernández Rivas cristina Lorenzo Florencia Recalde Verónica Valdiviezo Darío Fajre Cintia Antonioli mariana Allende Claudia Losada Teresita Gonzalez Department of Gastroenterology at Hospital de Niños Sor maría Ludovica La Plata Buenos Aires Argentina Department of Gastroenterology at Hospital de Alta Complejidad El Cruce Florencio Varela Buenos Aires Argentina Posadas Hospital Buenos Aires Argentina Department of Nutrition at Hospital de Niños Sor maría Ludovica La Plata Buenos Aires Argentina Department of Surgery at Hospital de Niños Sor maría Ludovica La Plata Buenos Aires Argentina Department of Otorhinolaryngology at Hospital de Niños Sor maría Ludovica La Plata Buenos Aires Argentina Department of Pneumonology at Hospital de Niños Sor maría Ludovica La Plata Buenos Aires Argentina

Introduction: Children with surgically repaired esophageal atresia (EA) show esophageal dysmotility. Due to the performance of high-resolution manometry (HRM), three motility alteration patterns have been described, which allowed to know the segmental alterations. Objective: To describe the esophageal motility patterns found through HRM in teenagers with EA and to relate these with the associated esophageal pathology and its severity. Materials and Method: Ten teenagers were included with no history of esophageal blockage or dilations in the last six months, who were orally fed and asymptomatic. Through performance of HRM, we found surgical and endoscopic history, as well as of esophageal biopsies and pH monitoring. Results: We found the following patterns: aperistalsis, pressurization and distal contraction. 70% showed distal contraction, and 100% of esophageal endoscopies and biopsies were normal. 57% of the esophageal pH monitoring analyzed was pathologic. In the pressurization and aperistalsis groups, we observed severe esophagitis and requirement of Nissen antireflux procedure in 100% of the cases. Esophageal pH monitoring analyzed was 100% pathologic. Conclusion: We described the esophageal segmental alterations in teenagers with atresia by means of HRM. The distal contraction group showed better development, without severe esophagitis or requirement of antireflux procedure. Therefore, by performing an HRM in teenagers with EA, we could predict the future esophageal behavior, according to the peristaltic pattern, since there are significant differences among the groups in study.

关键词： High-Resolution Manometry Esophageal Atresia Teenagers

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