Guidelines: what is the best for clinical practice
Cyclic vomiting syndrome
Claudio Romano 1, Donatella Comito 2, Osvaldo Borrelli 3
1 Dipartimento di Pediatria, Università degli Studi di Messina2Dipartimento di Pediatria, ASLTO5, Ospedale S. Croce, Moncalieri (TO)3Division of Neurogastroenterology & Motility, Department of Paediatric Gastroenterology, Great Omrond Street Hospital, London, UK
Cyclic vomiting syndrome (CVS) is characterized by recurrent and stereotyped episode of intense vomiting interspersed by periods of varying length during which the patients are completely symptom-free. The diagnosis is made by exclusion of other organic diseases, which can lead to extensive testing. Treatment has to be tailored to patient’s needs and symptoms aiming at avoiding the trigger factors, terminating the acute phase, and preventing or reducing the frequency and intensity of acute episodes.