避免性限制性食物摄入障碍和儿科食障碍:儿科胃肠病学的视角
1Department of Pediatrics, Duke University, Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Durham, North Carolina, USA.
Current opinion in pediatrics
|July 18, 2023
概括
避免/限制性食物摄入障碍 (ARFID) 和儿科食障碍 (PFD) 是不断发展的食功能障碍框架. 本综述比较了ARFID和PFD,详细介绍了它们的诊断和管理相似之处和差异.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 儿童心理学 儿童心理学
- 临床营养学 临床营养学
背景情况:
- 避免/限制性食物摄入障碍 (ARFID) 和儿科食障碍 (PFD) 是了解功能失调的食模式的最新进展.
- 虽然共享重叠的特征,ARFID和PFD拥有独特的特征,源于它们的发展起源.
研究的目的:
- 为了比较ARFID和PFD的诊断和管理框架.
- 突出最近在诊断和治疗这些饮食障碍方面的进展.
主要方法:
- 对ARFID和PFD现有文献的比较综述.
- 对诊断标准和治疗方法的分析.
主要成果:
- 无论是ARFID还是PFD都描述了功能失调的养,需要医疗服务提供者的参与.
- 解决医疗,营养,技能和行为方面的多学科护理至关重要,特别是在PFD模型中.
- 虽然可以考虑药理性食欲刺激,但没有一种经验验证的行为方法被普遍确立为食疗法.
结论:
- 尽管存在差异,但ARFID和PFD需要综合医疗和治疗干预措施.
- 预计未来将对ARFID和PFD的诊断标准进行改进,这可能会在两个框架之间建立更结构化的联系.
相关概念视频
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
201
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
201
Taste Buds and Receptors
2.3K
Gustation, or the sense of taste, is intrinsically linked to the anatomical structures located on the tongue. This organ's surface, along with the entirety of the oral cavity, is adorned with stratified squamous epithelium. Evident on the tongue are elevated structures known as papillae (singular = papilla), which house the mechanisms for the transduction of gustatory stimuli. Four distinct types of papillae exist, each identified by their unique morphological attributes: the circumvallate,...
2.3K
Enteral Nutrition I: Orogastric and Nasogastric Feeding
365
Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
365
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
357
Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
357
Anorexia Nervosa
150
Anorexia nervosa is a complex and severe eating disorder characterized by an intense fear of weight gain, an unrelenting pursuit of thinness, and a distorted body image. It often leads to dangerously low body weight relative to an individual's age and height. This disorder is marked by significant physical and psychological consequences, making it one of the most life-threatening psychiatric illnesses.
Symptoms and Physical Effects
Individuals with anorexia nervosa commonly exhibit extreme...
Symptoms and Physical Effects
Individuals with anorexia nervosa commonly exhibit extreme...
150
Parentral Nutrition: Centeral and Peripheral Parental Nutrition
219
Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
219


