Adolescent rumination syndrome

Adolescent Rumination Syndrome (ARS) is a relatively uncommon disorder, defined by the involuntary regurgitation of recently ingested food from the stomach to the mouth, where it is either expelled or re-swallowed. Although the disorder itself is not life-threatening, it typically has a significant...

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Bibliographic Details
Published in:Pediatric annals 2014-04, Vol.43 (4), p.e95-e100
Main Authors: Schroedl, Rose Lucey, Di Lorenzo, Carlo, Alioto, Anthony
Format: Article
Language:English
Subjects:
Adolescent
Adolescents
Baclofen - therapeutic use
Diagnosis, Differential
Eating Disorders
Etiology
Evidence
Feeding and Eating Disorders of Childhood - diagnosis
Feeding and Eating Disorders of Childhood - therapy
GABA-B Receptor Agonists - therapeutic use
Gastroesophageal Reflux - drug therapy
Gastroesophageal Reflux - etiology
Gastroesophageal Reflux - psychology
Gastrointestinal diseases
Humans
Medical diagnosis
Medical treatment
Observation
Patients
Pediatrics
Symptoms (Individual Disorders)
Syndrome
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Description
Summary:Adolescent Rumination Syndrome (ARS) is a relatively uncommon disorder, defined by the involuntary regurgitation of recently ingested food from the stomach to the mouth, where it is either expelled or re-swallowed. Although the disorder itself is not life-threatening, it typically has a significant medical and psychosocial impact on the patient and family. There continues to be limited awareness about the clinical presentation, diagnosis, and treatment of ARS among clinicians. As such, adolescents presenting with symptoms of ARS often are misdiagnosed and typically undergo avoidable, extensive, invasive, and costly testing. This article seeks to increase awareness and knowledge about ARS, and to provide the clinician with practical guidelines regarding the pathogenesis, assessment, diagnosis, and treatment of ARS.
ISSN:0090-4481
1938-2359
DOI:10.3928/00904481-20140325-11