Infantile colic from the perspective of evidence-based medicine: prevalence, principles of differential diagnosis and diet therapy algorithm
https://doi.org/10.21518/2079-701X-2019-17-147-155
Abstract
The article presents data on the prevalence of infant colic, etiological factors, diagnostic criteria, differential diagnosis and therapy with justification of approaches to the choice of formula in children on artificial feeding. When choosing a formula, it is necessary to take into account the compositional features aimed at overcoming the functional immaturity of the gastrointestinal tract, enteric nervous system, and the ongoing formation of the intestinal microbiome – the presence of a partially hydrolyzed protein, a reduced lactose content, the presence of prebiotics (fructooligosaccharides) and probiotics. The formula Similac Comfort is fully compliant. This formula additionally contains oligosaccharide of the breast milk 2 fucosillactose (2’-FL), 0.2 g / l – identical to that found in breast milk, which has proven positive effects in the form of an immunomodulating effect, anti-infectious effect, is involved in the regulation of growth and maturation of intestinal epithelial cells, in the development of the nervous system.
About the Author
М. М. Gurova
St. Petersburg State Pediatric Medical University;
Russia Belgorod State University;
Clinical diagnostic center for children
Russian Federation
Russian Federation
Margarita M. Gurova, Dr. of Sci. (Med.), Professor, Senior Researcher, Laboratory of Medical and Social Problems in Pediatrics, Federal State Budgetary Educational Institution of Higher Education «St. Petersburg State Pediatric Medical University» of the Ministry of Health of the Russian Federation; Chair for Pediatrics with Pediatric Surgery Module, Federal State Autonomous Educational Institution of Higher Education «Belgorod State University»; Head of Department of Abdominal Pathology with Endoscopy and Functional Diagnostics, St. Petersburg State Budgetary Healthcare Institution «Consultative and Diagnostic Center for Children»
2, Litovskaya St., St. Petersburg, 194100,
85, Pobedy St., Belgorod, 308015,
Bldg. 2, 36, Oleko Dundicha St., Saint Petersburg, 192289
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For citations:
Gurova ММ. Infantile colic from the perspective of evidence-based medicine: prevalence, principles of differential diagnosis and diet therapy algorithm. Meditsinskiy sovet = Medical Council. 2019;(17):147-155. (In Russ.) https://doi.org/10.21518/2079-701X-2019-17-147-155
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