Clinical management of motility disorders in children

We review the current clinical evaluation and management of the most common esophageal and gastrointestinal motility disorders in children based on the literature and our experience in a pediatric motility center in the United States. The disorders discussed include esophageal achalasia, pre- and post-fundoplication motility disorders, gastroparesis, motility disorders occurring after repair of congenital atresias, motility disorders associated with gastroschisis, chronic intestinal pseudo-obstruction, motility after intestinal transplantation, motility disorders after colonic resection for Hirschsprung's disease, chronic functional constipation, and motility disorders associated with imperforate anus.

Keywords: Fundoplication, Gastroparesis, Chronic intestinal pseudoobstruction, Constipation, Fecal incontinence, Imperforate anus

a Center for Cell and Developmental Biology, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio

b Center for Advanced Research in Neuromuscular Gastrointestinal Disorders at Nationwide Children's Hospital, Columbus, Ohio

c Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Nationwide Children's Hospital, The Ohio State University College of Medicine, Columbus, Ohio

Address reprint requests and correspondence: Cheryl E. Gariepy, MD, FAAP, Center for Cell and Developmental Biology, The Research Institute at Nationwide Children's Hospital, 700 Children's Drive, WA2015, Columbus, OH 43205

PII: S1055-8586(09)00042-0

doi:10.1053/j.sempedsurg.2009.07.004

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