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Disorders of the gastrointestinal tract in children: consultation-liaison experience

J B Reinhart

    The Psychiatric Clinics of North America
    |August 1, 1982
    PubMed

    Insights

    Pediatric gastrointestinal disorders often require psychiatric consultation for persistent or recurrent cases. Collaboration between pediatricians, child psychiatrists, and surgeons ensures optimal management of complex pediatric GI conditions.

    Area of Science:

    • Pediatric Gastroenterology
    • Child Psychiatry
    • Psychosomatic Medicine

    Background:

    • Gastrointestinal (GI) disorders are prevalent in children, with many cases being transient.
    • Persistent or recurrent GI symptoms necessitate a comprehensive medical evaluation.

    Observation:

    • The frequency of psychiatric consultation for pediatric GI issues varies with physician approach.
    • Child psychiatrists assess the child's psychosocial environment and conduct psychiatric evaluations.
    • Psychosocial factors significantly influence the management and treatment of pediatric GI disorders.

    Findings:

    • Psychiatric evaluation can provide crucial insights into the psychosocial context of pediatric GI conditions.
    • Integrating psychosocial assessments leads to more effective management strategies.
    • Multidisciplinary collaboration is vital for severe conditions like regional ileitis and ulcerative colitis.

    Implications:

    • Enhanced understanding of the interplay between psychosocial factors and pediatric GI health.
    • Improved treatment protocols for children with chronic or severe gastrointestinal issues.
    • The necessity of a collaborative, holistic approach involving pediatricians, psychiatrists, and surgeons for optimal pediatric GI care.

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