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Rumination syndrome in adolescents.
1Divisions of Pediatric Gastroenterology, Children's Hospital of Pittsburgh, PA 15213-2583, USA.
The Journal of Pediatrics
|February 7, 2001
Summary
Rumination in adolescents is a functional gastrointestinal disorder diagnosed by clinical features. Antroduodenal manometry (ADM) helps rule out other conditions, and a multidisciplinary approach leads to recovery.
Area of Science:
- Pediatric Gastroenterology
- Functional Gastrointestinal Disorders
- Motility Disorders
Background:
- Rumination is a distinct functional gastrointestinal disorder in neurologically normal children and adolescents.
- Symptoms include postprandial regurgitation, weight loss, and abdominal pain, often confused with other motility disorders.
Purpose of the Study:
- To evaluate the clinical presentation of rumination in adolescents.
- To assess the diagnostic utility of antroduodenal manometry (ADM).
- To evaluate the effectiveness of multidisciplinary team management.
Main Methods:
- Retrospective analysis of 12 adolescents diagnosed with rumination.
- Extensive investigations to exclude organic causes.
- Antroduodenal manometry (ADM) performed in all patients.
- Multidisciplinary approach for nutritional and behavioral rehabilitation.
Main Results:
- Median age 14 years, average symptom duration 17 months.
- Fasting ADM was normal; postprandial ADM showed characteristic pressure increases in 8/12 patients.
- 10/12 patients showed symptom resolution or improvement with multidisciplinary management.
- Successful transition to oral feedings achieved in all patients.
Conclusions:
- Rumination is a functional gastrointestinal disorder diagnosed clinically in adolescents.
- ADM is useful for diagnosis and ruling out other motility disorders.
- Multidisciplinary management leads to satisfactory recovery in most cases.