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Treatment of Food Aversion and Eating Problems in Children with Short Bowel Syndrome: A Systematic Review

Food Aversion (FA) is a strong refusing behaviour to the oral assumption of food that can affect children with Short Bowel Syndrome (SBS). Management includes behavioural and Messy Play treatments, with few reports on systematic strategies to return the patient to enjoyable eating. We conducted a sy...

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Autores principales: Gigola, Francesca, Carletti, Virginia, Coletta, Riccardo, Certini, Martina, Del Riccio, Marco, Bortolotti, Caterina, Morabito, Antonino
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9600729/
https://www.ncbi.nlm.nih.gov/pubmed/36291518
http://dx.doi.org/10.3390/children9101582
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author Gigola, Francesca
Carletti, Virginia
Coletta, Riccardo
Certini, Martina
Del Riccio, Marco
Bortolotti, Caterina
Morabito, Antonino
author_facet Gigola, Francesca
Carletti, Virginia
Coletta, Riccardo
Certini, Martina
Del Riccio, Marco
Bortolotti, Caterina
Morabito, Antonino
author_sort Gigola, Francesca
collection PubMed
description Food Aversion (FA) is a strong refusing behaviour to the oral assumption of food that can affect children with Short Bowel Syndrome (SBS). Management includes behavioural and Messy Play treatments, with few reports on systematic strategies to return the patient to enjoyable eating. We conducted a systematic review to better understand this complex and vital issue. (1) Materials and Methods: We investigated publications using MEDLINE, Embase, and the Web of Science to include articles published up to July 2022. The inclusion criteria were original articles including paediatric patients (aged < 18 years old) affected by SBS and Intestinal Failure (IF) who underwent treatment for FA. (2) Results: A total of 24 patients received treatment—15 (62.5%) patients were male and 9 (37.5%) were female. The age range was from 1 month to 16 years. Treatment of FA was carried out by behavioural therapy in 2 patients and Messy Play Therapy in 12 patients already surgically and pharmacologically managed for SBS. The treatment results showed complete weaning from Parenteral Nutrition in 9/14 cases (64%) using the behavioural treatment and 7/12 cases using Messy Play Therapy. (3) Conclusions: FA is a rare but disabling condition that often affects SBS patients, worsening their overall health and quality of life. This condition should be addressed in an Intestinal Rehabilitation Centre context. Our review sheds light on the literature gap regarding FA, and further studies are required to understand better which treatment options best suit SBS paediatric patients.
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spelling pubmed-96007292022-10-27 Treatment of Food Aversion and Eating Problems in Children with Short Bowel Syndrome: A Systematic Review Gigola, Francesca Carletti, Virginia Coletta, Riccardo Certini, Martina Del Riccio, Marco Bortolotti, Caterina Morabito, Antonino Children (Basel) Review Food Aversion (FA) is a strong refusing behaviour to the oral assumption of food that can affect children with Short Bowel Syndrome (SBS). Management includes behavioural and Messy Play treatments, with few reports on systematic strategies to return the patient to enjoyable eating. We conducted a systematic review to better understand this complex and vital issue. (1) Materials and Methods: We investigated publications using MEDLINE, Embase, and the Web of Science to include articles published up to July 2022. The inclusion criteria were original articles including paediatric patients (aged < 18 years old) affected by SBS and Intestinal Failure (IF) who underwent treatment for FA. (2) Results: A total of 24 patients received treatment—15 (62.5%) patients were male and 9 (37.5%) were female. The age range was from 1 month to 16 years. Treatment of FA was carried out by behavioural therapy in 2 patients and Messy Play Therapy in 12 patients already surgically and pharmacologically managed for SBS. The treatment results showed complete weaning from Parenteral Nutrition in 9/14 cases (64%) using the behavioural treatment and 7/12 cases using Messy Play Therapy. (3) Conclusions: FA is a rare but disabling condition that often affects SBS patients, worsening their overall health and quality of life. This condition should be addressed in an Intestinal Rehabilitation Centre context. Our review sheds light on the literature gap regarding FA, and further studies are required to understand better which treatment options best suit SBS paediatric patients. MDPI 2022-10-19 /pmc/articles/PMC9600729/ /pubmed/36291518 http://dx.doi.org/10.3390/children9101582 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Gigola, Francesca
Carletti, Virginia
Coletta, Riccardo
Certini, Martina
Del Riccio, Marco
Bortolotti, Caterina
Morabito, Antonino
Treatment of Food Aversion and Eating Problems in Children with Short Bowel Syndrome: A Systematic Review
title Treatment of Food Aversion and Eating Problems in Children with Short Bowel Syndrome: A Systematic Review
title_full Treatment of Food Aversion and Eating Problems in Children with Short Bowel Syndrome: A Systematic Review
title_fullStr Treatment of Food Aversion and Eating Problems in Children with Short Bowel Syndrome: A Systematic Review
title_full_unstemmed Treatment of Food Aversion and Eating Problems in Children with Short Bowel Syndrome: A Systematic Review
title_short Treatment of Food Aversion and Eating Problems in Children with Short Bowel Syndrome: A Systematic Review
title_sort treatment of food aversion and eating problems in children with short bowel syndrome: a systematic review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9600729/
https://www.ncbi.nlm.nih.gov/pubmed/36291518
http://dx.doi.org/10.3390/children9101582
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