Problemi correnti
Problemi gastrointestinali in bambini con handicap neuromotorio
GASTROINTESTINAL PROBLEMS IN CHILDREN WITH NEUROLOGICAL AND NEUROMUSCOLAR DISORDERS
ANNAMARIA STAIANO
Dipartimento di Pediatria, Università Federico II, Napoli
Febbraio 1997 - pagg. 97 -101
Abstract
It is well known that gastrointestinal (GI)
motor dysfunctions occur frequently in children
with different degrees of brain damage,
whereas only recently, several reports
are outlining the association of GI disorders
and congenital myopathies or generalized
muscle disorders in paediatric age.
Swallowing disorders occur in 40% of children
with brain damage, recurrent vomiting
in 10-15% of mentally retarded children.
If fully investigated, up to 75% of these
children have gastroesophageal reflux,
62% of mentally retarded children present
chronic constipation. Differently from children
with myopathy in whom GI involvement
is often clinically silent, most children
with brain damage present a variety of GI
symptoms which often do not receive appropiate
attention from paediatricians. Better
understanding of the pathophysiology
of GI motor disorders in these children may
contribute to establish treatment strategies
which prevent significant secondary causes
of morbidity.
Parole chiave
Suggerite dall'AI
Classificazione MeSH
Bibliografia
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6. Christensen JR: Developmental approach to pediatric neurogenic dysphagia. Dysphagia 3, 131, 1989.
7. Sondheimer JM, Morris BA: Gastroesophageal reflux among severely retarded children. J Pediatr 94, 710, 1979.
8. Staiano A, Del Giudice E: Colonic transit and anorectal manometry in children with severe brain damag. Pediatrics 94, 169, 1994.
9. Cook IJ: Normal and disordered swallowing: new insights. In: Bailliere’s Clinical Gastroenterology, pp 245-268, Bailliere Tindall London, 1991.
10. Newman LA, Cleveland R, Blickman J et al: Videofluoroscopic analysis of the infants swallow. Invest Radiol 26, 870, 1991.
11. Fanucci A, Cerro P, Fanucci E: Sonographic evaluation of physiologic bolus volume in oral swallowing. Am J Physiol Imag 7, 73, 1992.
12. Logeman J: Criteria for studies of treatment for oropharingeal dysphagia. Dysphagia 1, 193, 1987.
13. Boyle JT: Nutritional management of the developmental disabled child. Pediatr Surg Int 6, 76, 1991.
14. Wheatjey MJR, Welsey DM, Tkach T et al: Long term follow-up of brain damaged children requiring feeding gastrostomy: should antireflux procedure always be performed? J Ped Surg 26, 301, 1991.
15. Fried MD, Khoshoo V, Secker DJ et al: Decrease in gastric emptying time and episodes of regurgitation in children with spastic quadriplegia fed a whey-based formula. J Pediatr 120, 56, 1992.
16. Ravelli AM, Milla PJ: Vomiting and gastro oesophageal motility in children with disorders of the central nervous system. Gastroenterolgy 108, 675A, 1995.
17. Staiano A, Cucchiara S, Del Giudice E et al: Oesophageal motor involvement in minimal change myopathy. Ital J Gastroenterol 21, 159, 1989.
18. Spitz L, Roth K, Kiely EM et al: Operation for gastroesophageal reflux associated with severe mental retardation. Arch Dis Child 68, 347, 1993.
19. Albanese C, Towbin RB, Ulman I et al: Percutaneous gastrojeunostomy versus Nissen Fundoplication for enteral feeding of the neurologically inpaired child with gastroesophageal reflux. J Pediatr 371, 123, 1993.
20. Di Lorenzo C, Flores A, Reddy SN, Hyman PE: Use of colonic manometry to differentiate causes of intractable constipation in children. J Pediatr 120, 690, 1992.
21. Staiano A, Del Giudice E, Simeone D et al: Cisapride in neurologically impaired children with chronic constipation. Dig Dis Science 41, 870, 1996.
3. Staiano A, Del Giudice E, Romano A et al: Upper gastrointestinal tract motility in children with progressive muscular dystrophy. J Pediatr 121, 720, 1992.
4. Kuban KCK, Leviton A: Cerebral Palsy. N Engl JMed 330, 188, 1994.
5. Wessel HB: Dystrophin in a clinical perspective, Pediatr Neurol 6, 3, 1990.
6. Christensen JR: Developmental approach to pediatric neurogenic dysphagia. Dysphagia 3, 131, 1989.
7. Sondheimer JM, Morris BA: Gastroesophageal reflux among severely retarded children. J Pediatr 94, 710, 1979.
8. Staiano A, Del Giudice E: Colonic transit and anorectal manometry in children with severe brain damag. Pediatrics 94, 169, 1994.
9. Cook IJ: Normal and disordered swallowing: new insights. In: Bailliere’s Clinical Gastroenterology, pp 245-268, Bailliere Tindall London, 1991.
10. Newman LA, Cleveland R, Blickman J et al: Videofluoroscopic analysis of the infants swallow. Invest Radiol 26, 870, 1991.
11. Fanucci A, Cerro P, Fanucci E: Sonographic evaluation of physiologic bolus volume in oral swallowing. Am J Physiol Imag 7, 73, 1992.
12. Logeman J: Criteria for studies of treatment for oropharingeal dysphagia. Dysphagia 1, 193, 1987.
13. Boyle JT: Nutritional management of the developmental disabled child. Pediatr Surg Int 6, 76, 1991.
14. Wheatjey MJR, Welsey DM, Tkach T et al: Long term follow-up of brain damaged children requiring feeding gastrostomy: should antireflux procedure always be performed? J Ped Surg 26, 301, 1991.
15. Fried MD, Khoshoo V, Secker DJ et al: Decrease in gastric emptying time and episodes of regurgitation in children with spastic quadriplegia fed a whey-based formula. J Pediatr 120, 56, 1992.
16. Ravelli AM, Milla PJ: Vomiting and gastro oesophageal motility in children with disorders of the central nervous system. Gastroenterolgy 108, 675A, 1995.
17. Staiano A, Cucchiara S, Del Giudice E et al: Oesophageal motor involvement in minimal change myopathy. Ital J Gastroenterol 21, 159, 1989.
18. Spitz L, Roth K, Kiely EM et al: Operation for gastroesophageal reflux associated with severe mental retardation. Arch Dis Child 68, 347, 1993.
19. Albanese C, Towbin RB, Ulman I et al: Percutaneous gastrojeunostomy versus Nissen Fundoplication for enteral feeding of the neurologically inpaired child with gastroesophageal reflux. J Pediatr 371, 123, 1993.
20. Di Lorenzo C, Flores A, Reddy SN, Hyman PE: Use of colonic manometry to differentiate causes of intractable constipation in children. J Pediatr 120, 690, 1992.
21. Staiano A, Del Giudice E, Simeone D et al: Cisapride in neurologically impaired children with chronic constipation. Dig Dis Science 41, 870, 1996.