Esophago‐gastric motility and nutritional management in a child with ATR‐X syndrome
X‐linked alpha thalassemia mental retardation (ATR‐X) syndrome is an X‐linked recessive disorder that often involves gastrointestinal symptoms. Aspiration pneumonia related to gastroesophageal reflux has been reported as the major cause of death, but gastrointestinal function has not been well inves...
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| Veröffentlicht in: | Pediatrics international 2014-08, Vol.56 (4), p.e48-e51 |
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| container_title | Pediatrics international |
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| creator | Watanabe, Toshihiko Arai, Katsuhiro Takahashi, Masataka Ohno, Michinobu Sato, Kaori Fuchimoto, Yasushi Wada, Takahiko Ida, Shinobu Kawahara, Hisayoshi Kanamori, Yutaka |
| description | X‐linked alpha thalassemia mental retardation (ATR‐X) syndrome is an X‐linked recessive disorder that often involves gastrointestinal symptoms. Aspiration pneumonia related to gastroesophageal reflux has been reported as the major cause of death, but gastrointestinal function has not been well investigated. The present report describes a child with ATR‐X syndrome who suffered from periodical episodes of refractory vomiting. We investigated the function of upper alimentary tract and found that esophago‐gastric dysmotility and severe gastric volvulus were the major causes of gastrointestinal symptoms. This child was surgically treated with anterior gastropexy and jejunal alimentation through gastrostomy, and the symptoms were relieved with good weight gain. This report may provide insight into the gastrointestinal function and nutritional management in children with ATR‐X syndrome. |
| doi_str_mv | 10.1111/ped.12402 |
| format | Article |
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Aspiration pneumonia related to gastroesophageal reflux has been reported as the major cause of death, but gastrointestinal function has not been well investigated. The present report describes a child with ATR‐X syndrome who suffered from periodical episodes of refractory vomiting. We investigated the function of upper alimentary tract and found that esophago‐gastric dysmotility and severe gastric volvulus were the major causes of gastrointestinal symptoms. This child was surgically treated with anterior gastropexy and jejunal alimentation through gastrostomy, and the symptoms were relieved with good weight gain. This report may provide insight into the gastrointestinal function and nutritional management in children with ATR‐X syndrome.</description><identifier>ISSN: 1328-8067</identifier><identifier>EISSN: 1442-200X</identifier><identifier>DOI: 10.1111/ped.12402</identifier><identifier>PMID: 25252072</identifier><language>eng</language><publisher>Australia: Blackwell Publishing Ltd</publisher><subject>alpha-Thalassemia - physiopathology ; ATR‐X syndrome ; Digestive system ; Esophageal Motility Disorders - complications ; Esophagus - physiopathology ; gastroesophageal reflux ; Gastrointestinal diseases ; Humans ; Infant, Newborn ; Male ; Medical treatment ; Mental Retardation, X-Linked - physiopathology ; motility ; nutritional access ; Ostomy ; Pediatrics ; PEG‐J ; Stomach - physiopathology</subject><ispartof>Pediatrics international, 2014-08, Vol.56 (4), p.e48-e51</ispartof><rights>2014 Japan Pediatric Society</rights><rights>2014 Japan Pediatric Society.</rights><rights>Copyright © 2014 Japan Pediatric Society</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3772-1785bc9c4916995ca0cb5b9e5568e7a26396212c45d13c57819c230c864437853</citedby><cites>FETCH-LOGICAL-c3772-1785bc9c4916995ca0cb5b9e5568e7a26396212c45d13c57819c230c864437853</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fped.12402$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fped.12402$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25252072$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Watanabe, Toshihiko</creatorcontrib><creatorcontrib>Arai, Katsuhiro</creatorcontrib><creatorcontrib>Takahashi, Masataka</creatorcontrib><creatorcontrib>Ohno, Michinobu</creatorcontrib><creatorcontrib>Sato, Kaori</creatorcontrib><creatorcontrib>Fuchimoto, Yasushi</creatorcontrib><creatorcontrib>Wada, Takahiko</creatorcontrib><creatorcontrib>Ida, Shinobu</creatorcontrib><creatorcontrib>Kawahara, Hisayoshi</creatorcontrib><creatorcontrib>Kanamori, Yutaka</creatorcontrib><title>Esophago‐gastric motility and nutritional management in a child with ATR‐X syndrome</title><title>Pediatrics international</title><addtitle>Pediatr Int</addtitle><description>X‐linked alpha thalassemia mental retardation (ATR‐X) syndrome is an X‐linked recessive disorder that often involves gastrointestinal symptoms. Aspiration pneumonia related to gastroesophageal reflux has been reported as the major cause of death, but gastrointestinal function has not been well investigated. The present report describes a child with ATR‐X syndrome who suffered from periodical episodes of refractory vomiting. We investigated the function of upper alimentary tract and found that esophago‐gastric dysmotility and severe gastric volvulus were the major causes of gastrointestinal symptoms. This child was surgically treated with anterior gastropexy and jejunal alimentation through gastrostomy, and the symptoms were relieved with good weight gain. This report may provide insight into the gastrointestinal function and nutritional management in children with ATR‐X syndrome.</description><subject>alpha-Thalassemia - physiopathology</subject><subject>ATR‐X syndrome</subject><subject>Digestive system</subject><subject>Esophageal Motility Disorders - complications</subject><subject>Esophagus - physiopathology</subject><subject>gastroesophageal reflux</subject><subject>Gastrointestinal diseases</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Male</subject><subject>Medical treatment</subject><subject>Mental Retardation, X-Linked - physiopathology</subject><subject>motility</subject><subject>nutritional access</subject><subject>Ostomy</subject><subject>Pediatrics</subject><subject>PEG‐J</subject><subject>Stomach - physiopathology</subject><issn>1328-8067</issn><issn>1442-200X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kE9LwzAYh4Mobk4PfgEJeNFDtyRt0vY45vwDA0Um7lbSNNsy2qQ2LaM3P4Kf0U9iXLeL4JvDG348eSA_AC4xGmI3o1JmQ0wCRI5AHwcB8QhCi2N390nkRYiFPXBm7QYhFIVRcAp6hLqDQtIH71NryjVfme_PrxW3daUELEytclW3kOsM6sZltTKa57Dgmq9kIXUNlYYcirXKM7hV9RqO56_OsIC21VllCnkOTpY8t_Jivwfg7X46nzx6s-eHp8l45gk_DImHw4imIhZBjFkcU8GRSGkaS0pZJENOmB8zgokIaIZ9QcMIx4L4SEQsCHz31h-Am85bVuajkbZOCmWFzHOupWlsgiljGPsIEYde_0E3pqncv3YUpZhhihx121GiMtZWcpmUlSp41SYYJb9tJ67tZNe2Y6_2xiYtXHogD_U6YNQBW5XL9n9T8jK965Q_WLqIZA</recordid><startdate>201408</startdate><enddate>201408</enddate><creator>Watanabe, Toshihiko</creator><creator>Arai, Katsuhiro</creator><creator>Takahashi, Masataka</creator><creator>Ohno, Michinobu</creator><creator>Sato, Kaori</creator><creator>Fuchimoto, Yasushi</creator><creator>Wada, Takahiko</creator><creator>Ida, Shinobu</creator><creator>Kawahara, Hisayoshi</creator><creator>Kanamori, Yutaka</creator><general>Blackwell Publishing Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201408</creationdate><title>Esophago‐gastric motility and nutritional management in a child with ATR‐X syndrome</title><author>Watanabe, Toshihiko ; Arai, Katsuhiro ; Takahashi, Masataka ; Ohno, Michinobu ; Sato, Kaori ; Fuchimoto, Yasushi ; Wada, Takahiko ; Ida, Shinobu ; Kawahara, Hisayoshi ; Kanamori, Yutaka</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3772-1785bc9c4916995ca0cb5b9e5568e7a26396212c45d13c57819c230c864437853</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>alpha-Thalassemia - physiopathology</topic><topic>ATR‐X syndrome</topic><topic>Digestive system</topic><topic>Esophageal Motility Disorders - complications</topic><topic>Esophagus - physiopathology</topic><topic>gastroesophageal reflux</topic><topic>Gastrointestinal diseases</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Male</topic><topic>Medical treatment</topic><topic>Mental Retardation, X-Linked - physiopathology</topic><topic>motility</topic><topic>nutritional access</topic><topic>Ostomy</topic><topic>Pediatrics</topic><topic>PEG‐J</topic><topic>Stomach - physiopathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Watanabe, Toshihiko</creatorcontrib><creatorcontrib>Arai, Katsuhiro</creatorcontrib><creatorcontrib>Takahashi, Masataka</creatorcontrib><creatorcontrib>Ohno, Michinobu</creatorcontrib><creatorcontrib>Sato, Kaori</creatorcontrib><creatorcontrib>Fuchimoto, Yasushi</creatorcontrib><creatorcontrib>Wada, Takahiko</creatorcontrib><creatorcontrib>Ida, Shinobu</creatorcontrib><creatorcontrib>Kawahara, Hisayoshi</creatorcontrib><creatorcontrib>Kanamori, Yutaka</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatrics international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Watanabe, Toshihiko</au><au>Arai, Katsuhiro</au><au>Takahashi, Masataka</au><au>Ohno, Michinobu</au><au>Sato, Kaori</au><au>Fuchimoto, Yasushi</au><au>Wada, Takahiko</au><au>Ida, Shinobu</au><au>Kawahara, Hisayoshi</au><au>Kanamori, Yutaka</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Esophago‐gastric motility and nutritional management in a child with ATR‐X syndrome</atitle><jtitle>Pediatrics international</jtitle><addtitle>Pediatr Int</addtitle><date>2014-08</date><risdate>2014</risdate><volume>56</volume><issue>4</issue><spage>e48</spage><epage>e51</epage><pages>e48-e51</pages><issn>1328-8067</issn><eissn>1442-200X</eissn><abstract>X‐linked alpha thalassemia mental retardation (ATR‐X) syndrome is an X‐linked recessive disorder that often involves gastrointestinal symptoms. Aspiration pneumonia related to gastroesophageal reflux has been reported as the major cause of death, but gastrointestinal function has not been well investigated. The present report describes a child with ATR‐X syndrome who suffered from periodical episodes of refractory vomiting. We investigated the function of upper alimentary tract and found that esophago‐gastric dysmotility and severe gastric volvulus were the major causes of gastrointestinal symptoms. This child was surgically treated with anterior gastropexy and jejunal alimentation through gastrostomy, and the symptoms were relieved with good weight gain. This report may provide insight into the gastrointestinal function and nutritional management in children with ATR‐X syndrome.</abstract><cop>Australia</cop><pub>Blackwell Publishing Ltd</pub><pmid>25252072</pmid><doi>10.1111/ped.12402</doi><tpages>4</tpages></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | alpha-Thalassemia - physiopathology ATR‐X syndrome Digestive system Esophageal Motility Disorders - complications Esophagus - physiopathology gastroesophageal reflux Gastrointestinal diseases Humans Infant, Newborn Male Medical treatment Mental Retardation, X-Linked - physiopathology motility nutritional access Ostomy Pediatrics PEG‐J Stomach - physiopathology |
| title | Esophago‐gastric motility and nutritional management in a child with ATR‐X syndrome |
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