Recommendations for Evaluation and Treatment of Common Gastrointestinal Problems in Children With ASDs

被引:134
作者
Buie, Timothy [2 ,3 ]
Fuchs, George J., III [4 ,5 ]
Furuta, Glenn T. [6 ,7 ,8 ,9 ]
Kooros, Koorosh [10 ]
Levy, Joseph [11 ]
Lewis, Jeffery D. [12 ]
Wershil, Barry K. [13 ]
Winter, Harland [1 ,2 ]
机构
[1] Mass Gen Hosp Children, Pediat Gastrointestinal Unit, Div Pediat Gastroenterol & Nutr, Boston, MA 02114 USA
[2] Harvard Univ, Sch Med, Dept Pediat, Boston, MA 02115 USA
[3] Learning & Dev Disabil Evaluat & Rehabil Serv, Lexington, MA USA
[4] Univ Arkansas Med Sci, Coll Med, Div Pediat Gastroenterol Hepatol & Nutr, Little Rock, AR 72205 USA
[5] Arkansas Childrens Hosp, Little Rock, AR 72202 USA
[6] USC, Keck Sch Med, Los Angeles, CA USA
[7] Childrens Hosp Denver, Sect Pediat Gastroenterol Hepatol & Nutr, Aurora, CO USA
[8] Natl Jewish Hlth, Dept Pediat, Denver, CO USA
[9] Univ Colorado Denver, Sch Med, Dept Pediat, Aurora, CO USA
[10] Univ Rochester, Med Ctr, Div Pediat Gastroenterol & Nutr, Golisano Childrens Hosp Strong, Rochester, NY 14642 USA
[11] NYU, Sch Med, NYU Lagone Med Ctr, Dept Pediat Adm, New York, NY USA
[12] Childrens Ctr Digest Hlth Care LLC, Atlanta, GA USA
[13] Northwestern Univ, Childrens Mem Hosp, Feinberg Sch Med NW, Div Gastroenterol Hepatol & Nutr, Chicago, IL 60614 USA
关键词
autism spectrum disorder; abdominal pain; constipation; diarrhea; gastroesophageal reflux disease; NORTH-AMERICAN-SOCIETY; PEDIATRIC-GASTROENTEROLOGY; MITOCHONDRIAL DISEASE; AUTISM; DISORDERS;
D O I
10.1542/peds.2009-1878D
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Children with autism spectrum disorders (ASDs) can benefit from adaptation of general pediatric guidelines for the diagnostic evaluation of abdominal pain, chronic constipation, and gastroesophageal reflux disease. These guidelines help health care providers determine when gastrointestinal symptoms are self-limited and when evaluation beyond a thorough medical history and physical examination should be considered. Children with ASDs who have gastrointestinal disorders may present with behavioral manifestations. Diagnostic and treatment recommendations for the general pediatric population are useful to consider until the development of evidence-based guidelines specifically for patients with ASDs. Pediatrics 2010; 125: S19-S29
引用
收藏
页码:S19 / S29
页数:11
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