Antroduodenal motility in neurologically handicapped children with feeding intolerance. BMC Gastroenterol 2004 Sep 01;4:19
Date
09/03/2004Pubmed ID
15341670Pubmed Central ID
PMC517499DOI
10.1186/1471-230X-4-19Scopus ID
2-s2.0-10444233406 (requires institutional sign-in at Scopus site) 24 CitationsAbstract
BACKGROUND: Dysphagia and feeding intolerance are common in neurologically handicapped children. The aim is to determine the etiologies of feeding intolerance in neurologically handicapped children who are intolerant of tube feedings.
METHODS: Eighteen neurologically handicapped children, followed in the Tube Feeding Clinic at the Children's Hospital of Wisconsin who were intolerant of gastrostomy feedings. The charts of these 18 patients were reviewed. Past medical history, diagnoses, history of fundoplication and results of various tests of gastrointestinal function including barium contrast radiography, endoscopy and antroduodenal manometry were documented.
RESULTS: Five of 11 children had abnormal barium upper gastrointestinal series. Seven of 14 had abnormal liquid phase gastric emptying tests. Two of 16 had esophagitis on endoscopy. All 18 children had abnormal antroduodenal motility.
CONCLUSIONS: In neurologically handicapped children foregut dysmotility may be more common than is generally recognized and can explain many of the upper gastrointestinal symptoms in neurologically handicapped children.
Author List
Werlin SLAuthor
Steven L. Werlin MD Emeritus Professor in the Pediatrics department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdolescentChild
Child, Preschool
Deglutition Disorders
Duodenum
Feeding Behavior
Female
Gastrointestinal Motility
Gastrointestinal Tract
Humans
Infant
Male
Nervous System Diseases
