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Titolo:
Oropharyngeal dysfunction and gastroesophageal dysmotility are present in girls and women with Rett syndrome
Autore:
Motil, KJ; Schultz, RJ; Browning, K; Trautwein, L; Glaze, DG;
Indirizzi:
ARS, USDA, Childrens Nutr Res Ctr, Dept Pediat, Houston, TX 77030 USA ARSHouston TX USA 77030 Nutr Res Ctr, Dept Pediat, Houston, TX 77030 USA Baylor Coll Med, Dept Neurol, Houston, TX 77030 USA Baylor Coll Med Houston TX USA 77030 , Dept Neurol, Houston, TX 77030 USA Baylor Coll Med, Dept Radiol, Houston, TX 77030 USA Baylor Coll Med Houston TX USA 77030 , Dept Radiol, Houston, TX 77030 USA TexasXChildrens Hosp, Dept Speech Language & Learning Disorders, Houston, T Texas Childrens Hosp Houston TX USA 77030 Learning Disorders, Houston, T
Titolo Testata:
JOURNAL OF PEDIATRIC GASTROENTEROLOGY AND NUTRITION
fascicolo: 1, volume: 29, anno: 1999,
pagine: 31 - 37
SICI:
0277-2116(199907)29:1<31:ODAGDA>2.0.ZU;2-7
Fonte:
ISI
Lingua:
ENG
Soggetto:
CEREBRAL-PALSY; GROWTH FAILURE; FEEDING PROBLEMS; CHILDREN;
Keywords:
gastroesophageal dysmotility; growth; nutritional status; Rett syndrome; swallowing function;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
34
Recensione:
Indirizzi per estratti:
Indirizzo: Motil, KJ ARS,77030, Childrens Nutr Res Ctr, Dept Pediat, 1100 Bates St, Houston, TX ARS 1100 Bates St Houston TX USA 77030 100 Bates St, Houston, TX
Citazione:
K.J. Motil et al., "Oropharyngeal dysfunction and gastroesophageal dysmotility are present in girls and women with Rett syndrome", J PED GASTR, 29(1), 1999, pp. 31-37

Abstract

Background: Feeding impairment frequently complicates the course of children with neurologic disorders and places them at risk for malnutrition and growth failure. Although feeding abnormalities have been reported in female patients with Rett syndrome, the mechanisms that account for these findingshave not been elucidated fully. This study was designed to characterize the clinical features of oropharyngeal and gastroesophageal dysfunction and their impact on the dietary intake and nutritional status of female subjectswith Rett syndrome. Methods: The clinical features of oropharyngeal and gastroesophageal dysfunction in 13 female patients with Rett syndrome, (age range, 3.7 to 25.7 years) were characterized by an oral feeding assessment, swallowing function study, and upper gastrointestinal series. Growth, nutritional status, and body composition were determined by stadiometry and anthropometry. Dietary intakes were determined from 3-day food records. Results: Oropharyngeal dysfunction and gastroesophageal dysmotility were present in 100% and 69%, respectively, of the study patients with Rett syndrome. The scope and severity of these abnormalities were apparent only by videofluoroscopy. Abnormalities of oropharyngeal function included poor tongue mobility, reduced oropharyngeal clearance, and laryngeal penetration of liquids and solid food duringswallowing. Esophageal dysmotility included absent primary or secondary waves, delayed emptying, atony, the presence of tertiary waves, spasm, and gastroesophageal reflux. Gastric dysmotility included diminished peristalsis or atony. Lower dietary energy intakes were associated with persistence of residue in the valleculae and pyriform sinuses and less body fat. Conclusion: The prevalence of oropharyngeal dysfunction and gastroesophageal dysmotility warrants early diagnostic evaluation and intervention strategies to improve the nutritional status of girls and women with RS.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 23/01/20 alle ore 04:08:43