Clinical Audit of Gastrointestinal Conditions Occurring among Adults with Down Syndrome Attending a Specialist Clinic
In: Journal of Intellectual & Developmental Disability, Jg. 32 (2007-03-01), Heft 1, S. 45-50
Online
academicJournal
Zugriff:
Background: Adults with Down syndrome (DS) are predisposed to syndromic and environmental gastrointestinal conditions. Method: In a hospital-based clinic for adults with DS, a chart audit was conducted to assess the range and frequency of gastrointestinal conditions. Results: From January 2003 to March 2005, 57 patients attended the clinic, average age 37 years (SD = 13, range 17-63), 34(60%) male, and 12(21%) with a history of institutionalisation. Of these, 56 were found to have at least one gastrointestinal concern. Of the "genotypic" conditions, the prevalence was as follows: 6(12%) of 51 tested had likely celiac disease, 1(2%) had achalasia, 1(2%) inflammatory bowel disease, 1(2%) cholelithiasis, 2(4%) unexplained abnormal liver function tests, 1(2%) extrinsic oesophageal compression, and 5(9%) gastro-oesophageal reflux. Of the "environmental conditions", 29(67%) of 43 tested had "H. pylori" infection; 13(25%) of 53 tested had hepatitis B infection (including 2 HbsAg positive, 0 HbeAg positive), 22(42%) non-immune and 4(7%) not tested; 17(36%) of 47 tested were immune to hepatitis A, 30(64%) non-immune and 10(18%) not tested. Of the conditions of "uncertain link with Down syndrome", 11(19%) of the 57 patients had unexplained constipation; 11(19%) had unexplained chronic diarrhoea; 1(2%) had haemochromatosis; and 39(68%) presented with overnutrition. Conclusion: On specific enquiry, a majority of adults with DS have a gastrointestinal condition. As many of the conditions require hospital services, specially designed protocols in this setting should be developed. (Contains 1 table.)
Titel: |
Clinical Audit of Gastrointestinal Conditions Occurring among Adults with Down Syndrome Attending a Specialist Clinic
|
---|---|
Autor/in / Beteiligte Person: | Wallace, Robyn A. |
Link: | |
Zeitschrift: | Journal of Intellectual & Developmental Disability, Jg. 32 (2007-03-01), Heft 1, S. 45-50 |
Veröffentlichung: | 2007 |
Medientyp: | academicJournal |
ISSN: | 1366-8250 (print) |
DOI: | 10.1080/13668250601146761 |
Schlagwort: |
|
Sonstiges: |
|