Gut dysmotility in children with neurological impairment: the nutritional management - Université de Lille Accéder directement au contenu
Article Dans Une Revue (Article De Synthèse) Frontiers in Neurology Année : 2023

Gut dysmotility in children with neurological impairment: the nutritional management

Résumé

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.
Fichier principal
Vignette du fichier
fneur-14-1200101.pdf (1.42 Mo) Télécharger le fichier
Origine Fichiers éditeurs autorisés sur une archive ouverte

Dates et versions

hal-04440637 , version 1 (06-02-2024)

Licence

Identifiants

Citer

Antonio Corsello, Lorenzo Scatigno, Annalisa Govoni, Gianvincenzo Zuccotti, Fréderic Gottrand, et al.. Gut dysmotility in children with neurological impairment: the nutritional management. Frontiers in Neurology, 2023, Frontiers in Neurology, 14, pp.1200101. ⟨10.3389/fneur.2023.1200101⟩. ⟨hal-04440637⟩

Collections

UNIV-LILLE
5 Consultations
4 Téléchargements

Altmetric

Partager

Gmail Mastodon Facebook X LinkedIn More