Gut dysmotility in children with neurological impairment: the nutritional management
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 dysmotilit...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2023-05-01
|
| Series: | Frontiers in Neurology |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fneur.2023.1200101/full |
| _version_ | 1797833214567383040 |
|---|---|
| author | Antonio Corsello Lorenzo Scatigno Annalisa Govoni Gianvincenzo Zuccotti Gianvincenzo Zuccotti Frédéric Gottrand Claudio Romano Elvira Verduci Elvira Verduci |
| author_facet | Antonio Corsello Lorenzo Scatigno Annalisa Govoni Gianvincenzo Zuccotti Gianvincenzo Zuccotti Frédéric Gottrand Claudio Romano Elvira Verduci Elvira Verduci |
| author_sort | Antonio Corsello |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-09T14:19:45Z |
| format | Article |
| id | doaj.art-9432eb34e09d4410a157b2bb3b0940d3 |
| institution | Directory Open Access Journal |
| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-04-09T14:19:45Z |
| publishDate | 2023-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj.art-9432eb34e09d4410a157b2bb3b0940d32023-05-05T04:29:25ZengFrontiers Media S.A.Frontiers in Neurology1664-22952023-05-011410.3389/fneur.2023.12001011200101Gut dysmotility in children with neurological impairment: the nutritional managementAntonio Corsello0Lorenzo Scatigno1Annalisa Govoni2Gianvincenzo Zuccotti3Gianvincenzo Zuccotti4Frédéric Gottrand5Claudio Romano6Elvira Verduci7Elvira Verduci8Department of Pediatrics, Vittore Buzzi Children’s Hospital, University of Milan, Milan, ItalyDepartment of Pediatrics, Vittore Buzzi Children’s Hospital, University of Milan, Milan, ItalyDepartment of Pediatrics, Vittore Buzzi Children’s Hospital, University of Milan, Milan, ItalyDepartment of Pediatrics, Vittore Buzzi Children’s Hospital, University of Milan, Milan, ItalyDepartment of Biomedical and Clinical Sciences L. Sacco, University of Milan, Milan, ItalyDepartment of Pediatric Gastroenterology, Hepatology, and Nutrition, CHU Lille, University of Lille, Lille, FrancePediatric Gastroenterology and Cystic Fibrosis Unit, Department of Human Pathology in Adulthood and Childhood "G. Barresi", University of Messina, Messina, ItalyDepartment of Pediatrics, Vittore Buzzi Children’s Hospital, University of Milan, Milan, ItalyDepartment of Health Science, University of Milan, Milan, ItalyIntestinal 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.https://www.frontiersin.org/articles/10.3389/fneur.2023.1200101/fullgastrointestinal dysmotilitygut motility disorderspediatric neurological impairmentneurometabolic diseasesnutritional managemententeral feeding |
| spellingShingle | Antonio Corsello Lorenzo Scatigno Annalisa Govoni Gianvincenzo Zuccotti Gianvincenzo Zuccotti Frédéric Gottrand Claudio Romano Elvira Verduci Elvira Verduci Gut dysmotility in children with neurological impairment: the nutritional management Frontiers in Neurology gastrointestinal dysmotility gut motility disorders pediatric neurological impairment neurometabolic diseases nutritional management enteral feeding |
| title | Gut dysmotility in children with neurological impairment: the nutritional management |
| title_full | Gut dysmotility in children with neurological impairment: the nutritional management |
| title_fullStr | Gut dysmotility in children with neurological impairment: the nutritional management |
| title_full_unstemmed | Gut dysmotility in children with neurological impairment: the nutritional management |
| title_short | Gut dysmotility in children with neurological impairment: the nutritional management |
| title_sort | gut dysmotility in children with neurological impairment the nutritional management |
| topic | gastrointestinal dysmotility gut motility disorders pediatric neurological impairment neurometabolic diseases nutritional management enteral feeding |
| url | https://www.frontiersin.org/articles/10.3389/fneur.2023.1200101/full |
| work_keys_str_mv | AT antoniocorsello gutdysmotilityinchildrenwithneurologicalimpairmentthenutritionalmanagement AT lorenzoscatigno gutdysmotilityinchildrenwithneurologicalimpairmentthenutritionalmanagement AT annalisagovoni gutdysmotilityinchildrenwithneurologicalimpairmentthenutritionalmanagement AT gianvincenzozuccotti gutdysmotilityinchildrenwithneurologicalimpairmentthenutritionalmanagement AT gianvincenzozuccotti gutdysmotilityinchildrenwithneurologicalimpairmentthenutritionalmanagement AT fredericgottrand gutdysmotilityinchildrenwithneurologicalimpairmentthenutritionalmanagement AT claudioromano gutdysmotilityinchildrenwithneurologicalimpairmentthenutritionalmanagement AT elviraverduci gutdysmotilityinchildrenwithneurologicalimpairmentthenutritionalmanagement AT elviraverduci gutdysmotilityinchildrenwithneurologicalimpairmentthenutritionalmanagement |