Caring for Children with Disorders of Gut-Brain Interaction in Resource-Limited Settings.

Rubén Peña-Vélez, Erick Manuel Toro-Monjaraz, Sharon Imbett-Yepez

Journal: Gastroenterology clinics of North America 2025;54(3):615-626

PMID: 40752920

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Abstract

Providing care for disorders of gut-brain axis interaction (DGBI) and motility disorders in low-resource countries is challenging due to limitations in access to public health systems and therapeutic tools. In many countries, caregivers are responsible for paying for the treatment of their child's health care expenses. There are growing epidemiologic data about DGBI in countries with limited resources; however, clinical trials of new treatments for DGBI in such countries are sparse. In this review, we summarize epidemiologic data, physicians' knowledge, and treatments utilized in countries with limited resources pertaining to DGBI.

Address: Gastrointestinal Motility and Physiology Unit, Instituto Nacional de Pediatría, Insurgentes Sur 3700 C, Colonia Insurgentes Cuicuilco, Coyoacán CDMX, Mexico City CP 04530, Mexico. Electronic address: [email protected].; Pediatric Gastroenterology, Intergastro S.A. Colonoscopy and Endoscopy, Torre Médica Salud Vega, Carrera 48# 1Sur-126 Consultorio 1607, Medellín CP: 050021, Colombia.; División of Pediatric Gastroenterology, Hepatology and Nutrition, Hospital General de Puebla Dr. Eduardo Vazquez N, Puebla, Mexico.

DOI: 10.1016/j.gtc.2025.02.004

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MeSH Terms: Humans, Developing Countries, Child, Gastrointestinal Diseases, Brain-Gut Axis, Health Resources, Resource-Limited Settings