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Gastroparesis pp 225–235Cite as

Pediatric Gastroparesis

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Part of the book series: Clinical Gastroenterology ((CG))

Abstract

Gastroparesis is a common problem in preterm infants and adolescents and an infrequent condition in toddlers and school age children. Etiology, diagnosis, and treatment of gastroparesis differ in children compared to adults. Immaturity of the enteric nervous system is responsible for most cases of delayed gastric emptying in newborns and viral infections are the most common cause of gastroparesis in adolescents. While scintigraphy remains the gold standard for the diagnosis of gastroparesis in pediatrics, less invasive technologies, including ultrasonography and breath testing have been developed and validated to measure gastric emptying in children. Nutritional management, including the use of enteral feedings, is of paramount importance in pediatric gastroparesis. Scarce data is available in children to support the benefit of prokinetics, intrapyloric botulin toxin injection, or gastric pacemaker.

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Author information

Authors and Affiliations

  1. Department of Gastroenterology, Hepatology, and Nutrition, Northwestern University’s Feinberg School of Medicine, Children’s Memorial Hospital, Chicago, IL, 60614, USA

    Miguel Saps MD (Director)

  2. The Ohio State University, Columbus, OH, USA

    Carlo Di Lorenzo MD (Professor of Pediatrics)

  3. Division of Pediatric Gastroenterology, Nationwide Children’s Hospital, Columbus, OH, USA

    Carlo Di Lorenzo MD (Chief)

Authors
  1. Miguel Saps MD
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  2. Carlo Di Lorenzo MD
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  3. Carlo Di Lorenzo MD
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Corresponding author

Correspondence to Miguel Saps MD .

Editor information

Editors and Affiliations

  1. School of Medicine, Department of Medicine, Temple University, N. Broad St. 3401, Philadelphia, 19140, Pennsylvania, USA

    Henry P. Parkman

  2. Paul L Foster School of Medicine, Department of Internal Medicine, Texas Tech University Health Sciences Ce, Alberta Avenue 4800, El Paso, 77905, Texas, USA

    Richard W. McCallum

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Saps, M., Di Lorenzo, C., Di Lorenzo, C. (2012). Pediatric Gastroparesis. In: Parkman, H., McCallum, R. (eds) Gastroparesis. Clinical Gastroenterology. Humana Press. https://doi.org/10.1007/978-1-60761-552-1_20

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  • DOI: https://doi.org/10.1007/978-1-60761-552-1_20

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  • Publisher Name: Humana Press

  • Print ISBN: 978-1-60761-551-4

  • Online ISBN: 978-1-60761-552-1

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