Caring for Children with Disorders of Gut-Brain Interaction in Resource-Limited Settings

Erick Manuel Toro-Monjaraz1, Sharon Imbett-Yepez2, Rubén Peña-Vélez3

  • 1Gastrointestinal Motility and Physiology Unit, Instituto Nacional de Pediatría, Insurgentes Sur 3700 C, Colonia Insurgentes Cuicuilco, Coyoacán CDMX, Mexico City CP 04530, Mexico.

Insights

Caring for gut-brain axis disorders in low-resource settings is difficult. This review examines epidemiology, physician knowledge, and treatments for these conditions in underserved regions.

Area of Science:

  • Gastroenterology
  • Pediatrics
  • Global Health

Background:

  • Disorders of gut-brain axis interaction (DGBI) and motility disorders pose significant challenges in low-resource countries.
  • Limited access to healthcare systems and financial burdens on caregivers exacerbate DGBI management.
  • Growing epidemiological data highlight the prevalence of DGBI in resource-limited settings, yet clinical trial data are scarce.

Purpose of the Study:

  • To review the current epidemiologic data on DGBI in low-resource countries.
  • To assess physicians' knowledge and understanding of DGBI in these regions.
  • To summarize the treatment modalities currently employed for DGBI in resource-limited settings.

Main Methods:

  • Systematic literature review of studies published on DGBI in low-resource countries.
  • Analysis of epidemiological data, physician surveys, and treatment protocols.
  • Synthesis of findings to identify gaps and challenges in DGBI care.

Main Results:

  • Epidemiological data indicate a significant burden of DGBI in low-resource countries.
  • Physician knowledge regarding DGBI varies, with common diagnostic and treatment challenges identified.
  • Treatment options are often limited, relying on basic interventions and facing accessibility issues.

Conclusions:

  • There is a critical need for improved healthcare infrastructure and therapeutic tools for DGBI in low-resource countries.
  • Enhanced physician education and standardized treatment guidelines are essential for better DGBI management.
  • Further clinical trials are required to evaluate novel DGBI treatments in diverse, resource-limited populations.

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