Integration of Biomedical and Psychosocial Treatments in Pediatrics Functional Gastrointestinal Disorders.

Miranda A L van Tilburg, Charles A Carter

Journal: Gastroenterology clinics of North America 2019;47(4):863-875

PMID: 30337037

Full Text on Elsevier Science View on PubMed

Abstract

Pediatric functional gastrointestinal disorders (FGIDs) are disorders of the brain-gut axis. Pathophysiological factors include alterations in gut motility, microbiota, immune system, central nervous system, and psychosocial factors. Given the complex pathophysiology of FGIDs, many patients are in need of integrative treatment approaches that may include a combination of biomedical, nutritional, and psychological approaches. In this article, we examine goals of treatment; give a brief overview of biomedical, nutritional, and psychological approaches; and finally discuss the integrative management of pediatric FGIDs.

Address: Department of Clinical Research, College of Pharmacy & Health Sciences, Campbell University, PO Box 1090, 180 Main Street, Buies Creek, NC 27506, USA; Department of Medicine, Division of Gastroenterology and Hepatology, University of North Carolina, 130 Mason Farm road, Chapel Hill, NC 27599, USA; Behavioral Medicine Research Group, School of Social Work, University of Washington, 4101 15th Avenue NE, Seattle, WA 98105, USA. Electronic address: [email protected].; Department of Clinical Research, College of Pharmacy & Health Sciences, Campbell University, PO Box 1090, 180 Main Street, Buies Creek, NC 27506, USA.

DOI: 10.1016/j.gtc.2018.07.010

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MeSH Terms: Child, Gastrointestinal Diseases, Humans