Gastrointestinal Care of Children and Adolescents with Developmental Disabilities

Feinberg, Arthur N.; Feinberg, Lisa; Atay, Orhan

doi:10.1016/j.pcl.2008.08.004

Cited by 5 publications

(4 citation statements)

References 20 publications

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“…Twenty‐eight items were included in the second round. The final document comprised 112 separate statements listed in Tables 1–6(6,9,10,13–15,17,21–43) and there was agreement for 101 of these. These are presented together with levels of evidence, the median responses, and the percentage of responses within 1 category of the median.…”

Section: Resultsmentioning

confidence: 99%

“…It was also agreed that the clinician should be aware of the possible additional energy requirements associated with the breathing abnormalities in Rett syndrome (6); however, to date, this has not been substantiated in a clinical study (45). In line with guidelines for the gastrointestinal care of children more generally (23), biochemical tests that should be undertaken as part of a nutritional assessment include hemoglobin, ferritin, white blood cell count, differential count, albumin/protein, urea, creatinine, electrolytes, vitamin D, and calcium. For those at risk for specific micronutrient deficiency, for example, for those taking some anticonvulsant medications, with poor growth, with symptoms suggestive of gastrointestinal malabsorption, or receiving at least 50% of their nutritional needs via enteral support, it was recommended that in addition to the above they should undergo testing of folate and B 12 .…”

Section: Assessment Of Energy Intake Feeding Difficulties and Anthrop...mentioning

confidence: 99%

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Assessment and Management of Nutrition and Growth in Rett Syndrome

Leonard

Ravikumara

Baikie

et al. 2013

J. pediatr. gastroenterol. nutr.

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Objectives We developed recommendations for the clinical management of poor growth and weight gain in Rett syndrome through evidence review and the consensus of an expert panel of clinicians. Methods Initial draft recommendations were created based upon literature review and 34 open-ended questions where the literature was lacking. Statements and questions were made available to an international, multi-disciplinary panel of clinicians in an online format and a Microsoft Word formatted version of the draft via email. Input was sought using a 2-stage modified Delphi process to reach consensus agreement. Items included clinical assessment of growth, anthropometry, feeding difficulties and management to increase caloric intake, decrease feeding difficulties and consideration of gastrostomy. Results Agreement was achieved on 101/112 statements. A comprehensive approach to the management of poor growth in Rett syndrome is recommended that takes into account factors such as feeding difficulties and nutritional needs. A BMI of approximately the 25th centile can be considered as a reasonable target in clinical practice. Gastrostomy is indicated for very poor growth, if there is risk of aspiration and if feeding times are prolonged. Conclusions These evidence- and consensus-based recommendations have the potential to improve care of nutrition and growth in a rare condition and stimulate research to improve the current limited evidence base.

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Section: Resultsmentioning

confidence: 99%

Section: Assessment Of Energy Intake Feeding Difficulties and Anthrop...mentioning

confidence: 99%

Assessment and Management of Nutrition and Growth in Rett Syndrome

Leonard

Ravikumara

Baikie

et al. 2013

J. pediatr. gastroenterol. nutr.

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“…Additionally, medications can cause altered GI motility and nutrient absorption. For example, antiepileptic medications can cause decreased vitamin D absorption, anorexia, and increased GI motility (Feinberg et al, 2008).…”

Section: Gi Complicationsmentioning

confidence: 99%

Proposed remedies for some developmental disorders

Ibrahim

El-Sayed

2012

Toxicol Ind Health

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Developmental disorders (DDs) are important leading cause of disability in developed countries and also in the United States. DDs are a group of individual conditions that result from abnormal nervous system development and cause altered function. They can begin at any time from prenatal to 22 years of age and the disability usually presents itself throughout a person's life time. Down syndrome, autism, neural tube defects, schizophrenia, cretinism, and attention-deficit hyperactivity disorder are among the most common DDs that currently plague numerous countries and have varying incidence rates. Their occurrence may be partially attributable to the lack of certain dietary nutrients. Notably, essential vitamins, minerals, and ω-3 fatty acids are often deficient in the general population of America and developed countries and are exceptionally deficient in patients suffering from mental disorders. Typically, most of these disorders are treated with prescription drugs, but many of these drugs cause unwanted side effects. Therefore, psychiatrists recommend alternative or complementary nutritional remedies to overcome the adverse effects of those drugs. Studies have shown that daily supplements of vital nutrients, such as that contain amino acids, often effectively reduce symptoms of the patients, because they are converted into neurotransmitters that alleviate depression and other mental disorders. The aim of this article is to discuss the role of dietary imbalances in the incidence of DD and to emphasize which dietary supplements can aid in the treatment of the above-mentioned DD.

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“…Similarly, bowel sounds generated from the movement of the intestinal contents and gas during peristalsis, are recognized clinically as useful indicators of intestinal function [7][8][9][10]. For example, hyperactive bowel sounds ("loud", "high-pitched" and "tinkling" sounds) may be the result of diarrhea or early intestinal obstruction while hypoactive bowel sounds (very diminished or absent sounds) are correlated with bowel obstruction, paralytic ileus, torsion of the bowel, or peritonitis, and can cause diminished peristalsis [11,12]. Therefore, although endoscopic or imaging examinations possess the capacity and accuracy for diseases diagnoses, auscultation of bowel sounds can serve as the primary diagnostic approach owing to its low cost and minimal pain according to current clinical practice.…”

Section: Introductionmentioning

confidence: 99%

A flexible skin-mounted wireless acoustic device for bowel sounds monitoring and evaluation

Wang

Jin

et al. 2019

Sci. China Inf. Sci.

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Conventional methods of intestinal inspection play an essential role in the assessment of bowel diseases and other relevant health issues, yet fail to obtain intestinal conditions in real time because of radiation limits and operation inconvenience. Herein, a flexible, skin-mounted device is developed for longterm, real-time monitoring, and for the evaluation of bowel sounds based on the integration of a threedimensional printed elastomeric resonator with flexible electronics. The device is capable of being flexibly attached to abdominal surfaces without performance degradation during breathing. Clinical tests conduct in a normal volunteer and in patients with mechanical intestinal obstruction or paralytic ileus illustrate the usefulness of the device in capturing the characteristics of bowel sounds. Furthermore, a demonstration of collection and classification of bowel sounds by the flexible device based on machine learning methods can serve as a reference for possible applications of the system in the auxiliary diagnosis of bowel problems.

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Gastrointestinal Care of Children and Adolescents with Developmental Disabilities

Cited by 5 publications

References 20 publications

Assessment and Management of Nutrition and Growth in Rett Syndrome

Assessment and Management of Nutrition and Growth in Rett Syndrome

Proposed remedies for some developmental disorders

A flexible skin-mounted wireless acoustic device for bowel sounds monitoring and evaluation

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