Semin Speech Lang 2007; 28(3): 180-189
DOI: 10.1055/s-2007-984724
Copyright © 2007 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

Nutrition and Gastrointestinal Tract Assessment and Management of Children with Dysphagia

Midge Kirby1 , Richard J. Noel1 , 2
  • 1Division of Pediatric Gastroenterology and Nutrition, Children's Hospital of Wisconsin, Milwaukee, Wisconsin
  • 2Medical College of Wisconsin, Milwaukee, Wisconsin
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Publikationsverlauf

Publikationsdatum:
23. Juli 2007 (online)

Abstract

Limited ability to take in nutrients places young patients with dysphagia at risk for malnutrition and failure to gain weight. These children require careful evaluation and ongoing monitoring of growth and nutritional status. Gastroesophageal reflux and recurrent vomiting may contribute to dysphagia when the refluxate causes laryngopharyngeal irritation and can increase the morbidity in patients prone to aspiration. A paucity of evidence-based literature on relevant topics demands both clinical judgment and an interdisciplinary approach for management decisions for these issues. Advances in nutrition and management of aerodigestive conditions related to dysphagia will be reviewed.

REFERENCES

  • 1 Schwarz S M, Corredor J, Fisher-Medina J, Cohen J, Rabinowitz S. Diagnosis and treatment of feeding disorders in children with developmental disabilities.  Pediatrics. 2001;  108(3) 671-676
  • 2 Marchand V, Motil K J. Nutrition support for neurologically impaired children: a clinical report of the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition.  J Pediatr Gastroenterol Nutr. 2006;  43(1) 123-135
  • 3 Fung E B, Samson-Fang L, Stallings V A et al.. Feeding dysfunction is associated with poor growth and health status in children with cerebral palsy.  J Am Diet Assoc. 2002;  102(3) 361-373
  • 4 Schwarz S M. Feeding disorders in children with developmental disabilities.  Infants Young Child. 2003;  16(4) 317-330
  • 5 Centers for Disease Control and Prevention .2000 CDC Growth Charts. Atlanta, GA; Centers for Disease Control and Prevention 2000
  • 6 Kleinman R Pediatric Nutrition Handbook. Elk Grove Village, IL; American Academy of Pediatrics 2004
  • 7 U.S. Department of Agriculture. Steps to a Healthier You. My Pyramid Plan. Washington, DC; U.S. Department of Agriculture 2005
  • 8 Otten J, Hellwig J, Meyers L. Dietary Reference Intakes .The Essential Guide to Nutrient Requirements. Washington, DC; National Academy of Sciences 2006
  • 9 Kleinman R D. Assessment of nutritional status. Pediatric Nutrition Handbook. 5th ed. Elk Grove Village, IL; American Academy of Pediatrics 2004
  • 10 Hamill P V, Drizd T A, Johnson C L, Reed R B, Roche A F, Moore W M. Physical growth: National Center for Health Statistics percentiles.  Am J Clin Nutr. 1979;  32(3) 607-629
  • 11 Appendix 23: Down Syndrome. In: Nevin-Folino N Pediatric Manual of Clinical Dietetics. 2nd ed. Chicago, IL; American Dietetic Association 2003: 787-794
  • 12 Appendix 24: Girls with Turner syndrome, physical growth 2 to 19 years. In: Nevin-Folino N Pediatric Manual of Clinical Dietetics. 2nd ed. Chicago, IL; American Dietetic Association 2003: 795
  • 13 Appendix 25: Cerebral palsy (spastic quadriplegia). In: Nevin-Folino N Pediatric Manual of Clinical Dietetics. 2nd ed. Chicago, IL; American Dietetic Association 2003: 796-801
  • 14 Appendix 28: Noonan syndrome. In: Nevin-Folino N Pediatric Manual of Clinical Dietetics. 2nd ed. Chicago, IL; American Dietetic Association 2003: 809-810
  • 15 Appendix 26: Prader-Willi syndrome. In: Nevin-Folino N Pediatric Manual of Clinical Dietetics. 2nd ed. Chicago, IL; American Dietetic Association 2003: 802-803
  • 16 Appendix 27: Achondroplasia. In: Nevin-Folino N Pediatric Manual of Clinical Dietetics. 2nd ed. Chicago, IL; American Dietetic Association 2003: 804-808
  • 17 Phillips S, Edlbeck A, Kirby M, Goday P. Ideal body weight in children.  Nutr Clin Pract. 2007;  22(20) 240-245
  • 18 Waterlow J C. Classification and definition of protein-calorie malnutrition.  BMJ. 1972;  3(5826) 566-569
  • 19 Coralles K, Utter S. Growth failure. In: Samour P, King K Handbook of Pediatric Nutrition. 3rd ed. Sudbury, MA; Jones and Bartlett 2005: 391-406
  • 20 Cloud H. Developmental disabilities. In: Samour P, King K Handbook of Pediatric Nutrition. 3rd ed. Sudbury, MA; Jones and Bartlett 2005: 290-291
  • 21 Nelson S P, Chen E H, Syniar G M, Christoffel K K. Prevalence of symptoms of gastroesophageal reflux during infancy. A pediatric practice-based survey. Pediatric Practice Research Group.  Arch Pediatr Adolesc Med. 1997;  151(6) 569-572
  • 22 Rudolph C D, Mazur L J, Liptak G S et al.. Guidelines for evaluation and treatment of gastroesophageal reflux in infants and children: recommendations of the North American Society for Pediatric Gastroenterology and Nutrition.  J Pediatr Gastroenterol Nutr. 2001;  32(Suppl 2) S1-S31
  • 23 Putnam P E. Gastroesophageal reflux disease and dysphagia in children.  Semin Speech Lang. 1997;  18(1) 25-37
  • 24 Applegate K E, Anderson J M, Klatte E C. Intestinal malrotation in children: a problem-solving approach to the upper gastrointestinal series.  Radiographics. 2006;  26(5) 1485-1500
  • 25 Noel R J, Glock M S, Pranikoff T, Hill I D. Nonobstructive antral web: an unusual cause of excessive crying in an infant.  J Pediatr Gastroenterol Nutr. 2000;  31(4) 439-441
  • 26 Pollack I F, Pang D, Kocoshis S, Putnam P. Neurogenic dysphagia resulting from Chiari malformations.  Neurosurgery. 1992;  30(5) 709-719
  • 27 Schulte-Bockholt A, Kugathasan S, Mesrobian H G, Werlin S L. Ureteropelvic junction obstruction: an overlooked cause of cyclic vomiting.  Am J Gastroenterol. 2002;  97(4) 1043-1045
  • 28 Li B U, Misiewicz L. Cyclic vomiting syndrome: a brain-gut disorder.  Gastroenterol Clin North Am. 2003;  32(3) 997-1019
  • 29 Moore D J, Tao B S, Lines D R, Hirte C, Heddle M L, Davidson G P. Double-blind placebo-controlled trial of omeprazole in irritable infants with gastroesophageal reflux.  J Pediatr. 2003;  143(2) 219-223
  • 30 Wang K, Lin H J, Perng C L et al.. The effect of H2-receptor antagonist and proton pump inhibitor on microbial proliferation in the stomach.  Hepatogastroenterology. 2004;  51(59) 1540-1543
  • 31 Litalien C, Theoret Y, Faure C. Pharmacokinetics of proton pump inhibitors in children.  Clin Pharmacokinet. 2005;  44(5) 441-466
  • 32 Hibbs A M, Lorch S A. Metoclopramide for the treatment of gastroesophageal reflux disease in infants: a systematic review.  Pediatrics. 2006;  118(2) 746-752
  • 33 Tonini M, De Ponti F, Di Nucci A, Crema F. Review article: cardiac adverse effects of gastrointestinal prokinetics.  Aliment Pharmacol Ther. 1999;  13(12) 1585-1591
  • 34 Drolet B, Rousseau G, Daleau P, Cardinal R, Turgeon J. Domperidone should not be considered a no-risk alternative to cisapride in the treatment of gastrointestinal motility disorders.  Circulation. 2000;  102(16) 1883-1885
  • 35 Dhir R, Richter J E. Erythromycin in the short- and long-term control of dyspepsia symptoms in patients with gastroparesis.  J Clin Gastroenterol. 2004;  38(3) 237-242
  • 36 Lasser M S, Liao J G, Burd R S. National trends in the use of antireflux procedures for children.  Pediatrics. 2006;  118(5) 1828-1835
  • 37 Richards C A, Milla P J, Andrews P L, Spitz L. Retching and vomiting in neurologically impaired children after fundoplication: predictive preoperative factors.  J Pediatr Surg. 2001;  36(9) 1401-1404
  • 38 Liacouras C A. Failed Nissen fundoplication in two patients who had persistent vomiting and eosinophilic esophagitis.  J Pediatr Surg. 1997;  32(10) 1504-1506
  • 39 Noel R J, Tipnis N A. Eosinophilic esophagitis-a mimic of GERD.  Int J Pediatr Otorhinolaryngol. 2006;  70(7) 1147-1153
  • 40 Noel R J, Putnam P E, Rothenberg M E. Eosinophilic esophagitis.  N Engl J Med. 2004;  351(9) 940-941
  • 41 Ruchelli E, Wenner W, Voytek T, Brown K, Liacouras C. Severity of esophageal eosinophilia predicts response to conventional gastroesophageal reflux therapy.  Pediatr Dev Pathol. 1999;  2(1) 15-18
  • 42 Markowitz J E, Spergel J M, Ruchelli E, Liacouras C A. Elemental diet is an effective treatment for eosinophilic esophagitis in children and adolescents.  Am J Gastroenterol. 2003;  98(4) 777-782
  • 43 Straumann A, Spichtin H P, Grize L, Bucher K A, Beglinger C, Simon H U. Natural history of primary eosinophilic esophagitis: a follow-up of 30 adult patients for up to 11.5 years.  Gastroenterology. 2003;  125(6) 1660-1669
  • 44 Gupta S K, Fitzgerald J F, Chong S K, Croffie J M, Collins M H. Vertical lines in distal esophageal mucosa (VLEM): a true endoscopic manifestation of esophagitis in children?.  Gastrointest Endosc. 1997;  45(6) 485-489
  • 45 Lim J R, Gupta S K, Croffie J M et al.. White specks in the esophageal mucosa: an endoscopic manifestation of non-reflux eosinophilic esophagitis in children.  Gastrointest Endosc. 2004;  59(7) 835-838
  • 46 Konikoff M R, Noel R J, Blanchard C et al.. A randomized, double-blind, placebo-controlled trial of fluticasone propionate for pediatric eosinophilic esophagitis.  Gastroenterology. 2006;  131(5) 1381-1391
  • 47 Qadeer M A, Swoger J, Milstein C et al.. Correlation between symptoms and laryngeal signs in laryngopharyngeal reflux.  Laryngoscope. 2005;  115(11) 1947-1952
  • 48 Swoger J, Ponsky J, Hicks D M et al.. Surgical fundoplication in laryngopharyngeal reflux unresponsive to aggressive acid suppression: a controlled study.  Clin Gastroenterol Hepatol. 2006;  4(4) 433-441
  • 49 Burklow K A, Phelps A N, Schultz J R, McConnell K, Rudolph C. Classifying complex pediatric feeding disorders.  J Pediatr Gastroenterol Nutr. 1998;  27(2) 143-147

J. NoelM.D. Ph.D. 

Division of Pediatric Gastroenterology and Nutrition

9000 W. Wisconsin Ave, Milwaukee, WI 53226

eMail: rnoel@mcw.edu

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