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Gastroenterol Clin North Am. 2003 Sep;32(3):997-1019.

Cyclic vomiting syndrome: a brain-gut disorder.

Author information

1
Department of Pediatrics, Feinberg School of Medicine, Northwestern University and Children's Memorial Hospital Chicago, IL 60614, USA. bli@childrensmemorial.org

Abstract

Despite the "black box" surrounding CVS, the authors' understanding of this clinical entity has advanced substantially in the last decade as a result of an international interdisciplinary clinical and research effort. Although CVS is now recognized as a unique clinical entity, patients still undergo innumerable hospitalizations and diagnostic tests. Although controlled therapeutic studies are lacking, reasonably effective empiric approaches have been developed by trial and error using anti-migraine, anti-emetic, and anti-epileptic regimens. The ongoing investigations of migraine mechanisms through NMR spectroscopy, mitochondrial DNA mutations and cellular energetics, corticotropin-releasing factor and gastric motility, and brainstem regulation of autonomic function may lead to breakthroughs in the understanding of and new therapies for CVS in the next decade.

PMID:
14562585
[Indexed for MEDLINE]

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