Gastroesophageal Reflux in the Child with Cerebral Palsy

Gjikopulli, Arieda; Kutsch, Erika; Berman, Loren; Prestowitz, Sky

doi:10.1007/978-3-319-50592-3_52-1

Cited by 1 publication

(2 citation statements)

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“…Due to the heterogeneity of severity, ranging from mild motor disability to severe cognitive retardation, the child with CP is a complex patient (27). As the severity of the lesion increases in patients with CP, comorbidities such as gastroesophageal reflux (GER) become more prevalent, with a prevalence ranging between 15 and 77% (30,31). Delayed gastric emptying related to the underlying neurological damage is the primary cause of this evidence.…”

Section: Gi Dysmotility and Cerebral Palsymentioning

confidence: 99%

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Gut dysmotility in children with neurological impairment: the nutritional management

et al. 2023

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Intestinal motility disorders represent a frequent problem in children with neurological impairment. These conditions are characterized by abnormal movements of the gut, which can result in symptoms such as constipation, diarrhea, reflux, and vomiting. The underlying mechanisms leading to dysmotility are various, and the clinical manifestations are often nonspecific. Nutritional management is an important aspect of care for children with gut dysmotility, as it can help to improve their quality of life. Oral feeding, when safe and in the absence of risk of ingestion or severe dysphagia, should always be encouraged. When oral nutrition is insufficient or potentially harmful, it is necessary to switch to an enteral by tube or parenteral nutrition before the onset of malnutrition. In most cases, children with severe gut dysmotility may require feeding via a permanent gastrostomy tube to ensure adequate nutrition and hydration. Drugs may be necessary to help manage gut dysmotility, such as laxatives, anticholinergics and prokinetic agents. Nutritional management of patients with neurological impairment often requires an individualized care plan to optimize growth and nutrition and to improve overall health outcomes. This review tries to sum up most significant neurogenetic and neurometabolic disorders associated with gut dysmotility that may require a specific multidisciplinary care, identifying a proposal of nutritional and medical management.

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Section: Gi Dysmotility and Cerebral Palsymentioning

confidence: 99%

“…Delayed gastric emptying related to the underlying neurological damage is the primary cause of this evidence. Hypomobility, enforced bed rest, scoliosis increasing intra-abdominal pressure, and use of anticonvulsants exacerbating nausea and vomiting can also contribute to GER (31).…”

Section: Gi Dysmotility and Cerebral Palsymentioning

confidence: 99%