Diagnosis and management of intestinal motility disorders

Gastrointestinal motility disorders in their most severe forms may directly lead to intestinal failure. Abnormal motor function may also contribute to the overall gut dysfunction of children who have other underlying gastrointestinal diseases, such as Hirschsprung disease or gastroschisis. Understan...

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Bibliographic Details
Published in:Seminars in pediatric surgery 2010-02, Vol.19 (1), p.50-58
Main Authors: Di Lorenzo, Carlo, MD, Youssef, Nader N., MD
Format: Article
Language:English
Subjects:
Chronic Disease
Gastrointestinal Agents - therapeutic use
Gastrointestinal Motility
Gastrointestinal Transit
Humans
Intestinal Diseases - diagnosis
Intestinal Diseases - therapy
Intestinal Pseudo-Obstruction - diagnosis
Manometry
Motility
Pacemaker
Pacemaker, Artificial
Pediatrics
Prokinetic
Scintigraphy
Surgery
Transit
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Summary:Gastrointestinal motility disorders in their most severe forms may directly lead to intestinal failure. Abnormal motor function may also contribute to the overall gut dysfunction of children who have other underlying gastrointestinal diseases, such as Hirschsprung disease or gastroschisis. Understanding the extent and the severity of the dysmotile segments has direct therapeutic and prognostic implications. Our ability to study gastrointestinal motility has greatly improved in the past few years, with the development of less-invasive diagnostic tests. Optimal treatment of children with intestinal motility disorders relies on a multidisciplinary approach, which focuses on optimizing nutrition, improving gastrointestinal motility, and reducing psychosocial disability. Patient education is important to avoid aggravations of symptoms caused by dietary indiscretions.
ISSN:1055-8586
1532-9453
DOI:10.1053/j.sempedsurg.2009.11.006