Rumination Syndrome in Children and Adolescents: Diagnosis, Treatment, and Prognosis

Chial, Heather J.; Camilleri, Michael; Williams, Donald E.; Litzinger, Kristi; Perrault, Jean

doi:10.1542/peds.111.1.158

Cited by 166 publications

(223 citation statements)

References 17 publications

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“…A number of authors use the term ''rumination syndrome'' in relation to older children, adolescents, and adults. 75,77 As with the term ''feeding disorder,'' there is significant variation in the use of the terms ''rumination,'' ''RD,'' and ''rumination syndrome.'' RD most commonly occurs in the context of pervasive developmental disorders and mental retardation, sometimes for self-stimulation.…”

Section: Picamentioning

confidence: 99%

Feeding and eating disorders in childhood

Bryant‐Waugh¹,

Markham²,

Kreipe³

et al. 2010

Intl J Eating Disorders

316

222

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Objective: To review the literature related to the current DSM-IV-TR diagnostic criteria for feeding disorder of infancy or early childhood; pica; rumination disorder; and other childhood presentations that are characterized by avoidance of food or restricted food intake, with the purpose of informing options for DSM-V.Method: Articles were identified by computerized and manual searches and reviewed to evaluate the evidence supporting possible options for revision of criteria.Results: The study of childhood feeding and eating disturbances has been hampered by inconsistencies in classification and use of terminology. Greater clarity around subtypes of feeding and eating problems in children would benefit clinicians and patients alike.Discussion: A number of suggestions supported by existing evidence are made that provide clearer descriptions of subtypes to improve clinical utility and to promote research. V

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Section: Picamentioning

confidence: 99%

Feeding and eating disorders in childhood

Bryant‐Waugh¹,

Markham²,

Kreipe³

et al. 2010

Intl J Eating Disorders

316

222

View full text Add to dashboard Cite

show abstract

“…A careful clinical history usually suffices to reach this diagnosis (22), especially if gastric emptying is normal and there is no gastroesophageal reflux in the supine position.…”

Section: Tests To Evaluate Gastric Contractilitymentioning

confidence: 99%

Methods for measurement of gastric motility

Szarka¹,

Camilleri²

2009

American Journal of Physiology-Gastrointestinal and Liver Physi

Self Cite

104

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Szarka LA, Camilleri M. Methods for measurement of gastric motility. Am J Physiol Gastrointest Liver Physiol 296: G461-G475, 2009. First published January 15, 2009 doi:10.1152/ajpgi.90467.2008There is an array of tests available to measure gastric motility. Some tests measure end points, such as gastric emptying, that result from several different functions, whereas other tests are more specific and test only a single parameter, such as contractility. This article reviews the tests most commonly available in practice and research to evaluate in vivo the gastric functions of emptying, accommodation, contractility, and myoelectrical activity. The rationale for testing, the relative strengths and weaknesses of each test, and technical details are summarized. We also briefly indicate the applications and validations of the tests for use in experimental animal studies. contractility; emptying; accommodation; gastroparesis; dyspepsia ASSESSMENT OF THE MOTOR FUNCTIONS (motility) of the stomach is important in studies of gastric physiology and pathophysiology. Although not generally applied in gastroenterological practice, there is increasing use of tests to evaluate gastric function, particularly less invasive tests in clinical settings.There is an array of tests available to measure gastric motility. Some tests measure end points, such as gastric emptying, that result from several different functions, whereas other tests are more specific and test only a single parameter, such as contractility. This article reviews the tests most commonly available in practice and research to evaluate in vivo the gastric functions of emptying, accommodation, contractility, and myoelectrical activity. The rationale for testing, the relative strengths and weaknesses of each test, and technical details are summarized. A brief discussion is also provided for methods that have been used in animals to study motor functions of the stomach in animals. Tests to Evaluate Gastric Emptying of SolidsGastric emptying is a composite end point reflecting a variety of functions including gastric accommodation, the pressure gradient between the proximal and distal stomach, and antropyloroduodenal contractility and coordination. The trituration of solids and emptying of solid and liquid food from the stomach are arguably the most important physiological functions of the stomach. Abnormal gastric emptying, either accelerated at 1 h or delayed at 4 h, is among the factors that contribute to reporting of dyspepsia or the development of postprandial symptoms after meal challenge (35). For all tests of gastric motility and emptying, there are standard precautions (1): 1) Drugs affecting gastric motility (e.g., anticholinergics, narcotics, and prokinetics) are stopped for 48 h prior to the test, and the study is performed in the morning after an overnight fast. 2) Diabetic subjects should have a glucose level Ͻ275 mg/dl. 3) At the time the meal is ingested, Type 1 diabetic patients should receive half of their normal insulin dose. Gastric Emptying Scintigrap...

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“…While first believed to be a disease of neurologically-impaired 4 children between 3 and 8 months of age 5 , it is now widely recognized as occurring in men and women of all ages and cognitive abilities. 6,7,8 Originally rumination was labeled benign 9 ; however, it is now known to cause such complications as weight loss, malnutrition, dental erosions, halitosis, electrolyte abnormalities, 10 abdominal discomfort, weight loss, 6 choking, aspiration, and pneumonia. 11 Similarly, while the absence of gastroesophageal reflux disease was an original criterion for the syndrome, 12 it has been found that many of these patients have evidence of "pathologic gastroesophageal reflux."…”

Section: Introductionmentioning

confidence: 99%

“…13 Some suggest that thorough upper gastrointestinal workup, such as upper esophageal barium studies and EGD, not be done on children presenting with rumination, despite the presence of abdominal pain or other accompanying gastrointestinal symptoms. 6 We performed a thorough upper gastrointestinal workup on a patient with concurrent rumination syndrome and heartburn, and were intrigued by the findings.…”

Section: Introductionmentioning

confidence: 99%