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Nutrition Management in Pediatric Gastrointestinal Motility Disorders
Author(s) -
Krasaelap Amornluck,
Kovacic Katja,
Goday Praveen S.
Publication year - 2020
Publication title -
nutrition in clinical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.725
H-Index - 71
eISSN - 1941-2452
pISSN - 0884-5336
DOI - 10.1002/ncp.10319
Subject(s) - medicine , parenteral nutrition , gastroparesis , intensive care medicine , malabsorption , pediatric gastroenterology , clinical nutrition , disease , constipation , medical nutrition therapy , gastric emptying , gastroenterology , gastrointestinal disease , psychological intervention , stomach , psychiatry
Gastrointestinal (GI) motility disorders are associated with suboptimal nutrition in children, mainly because of malabsorption and symptoms limiting dietary intake. Apart from medical therapy, nutrition support has a crucial role in maintaining growth and improving clinical outcomes in children. Based on recent data and guidelines, this review provides an overview of nutrition assessment and specific interventions for common pediatric GI disorders including gastroesophageal reflux disease, esophageal motility disorders, gastroparesis, chronic intestinal pseudo‐obstruction, and constipation. Several approaches including diet modification, enteral nutrition (gastric vs post‐pyloric, temporary vs permanent access, bolus vs continuous), and parenteral nutrition need to be tailored based on patient's nutrition and clinical assessment.