A Case of Visceral Autonomic Neuropathy Complicated by Guillain-Barre Syndrome Accompanied with Cyclic Vomiting Syndrome-like Disorder in a Child / 대한소아소화기영양학회지
Pediatric Gastroenterology, Hepatology & Nutrition
; : 128-133, 2015.
Article
em En
| WPRIM
| ID: wpr-72731
Biblioteca responsável:
WPRO
ABSTRACT
We present a case of an 8-year-old boy with visceral autonomic neuropathy complicated by Guillain-Barre syndrome. In this pediatric patient, gastroparesis was the major symptom among the autonomic symptoms. Due to the gastroparesis, there was no progress with the oral diet, and nutrition was therefore supplied through a nasojejunal tube and gastrojejunal tube via Percutaneous endoscopic gastrostomy (PEG). After tube feeding for 9 months, the patient's gastrointestinal symptoms improved and his oral ingestion increased. The pediatric patient was maintained well without gastrointestinal symptoms for 3 months after removal of the PEG, had repeated vomiting episodes which lead to the suspicion of cyclic vomiting syndrome. Then he started treatment with low-dose amitriptyline, which resulted in improvement. Currently, the patient has been maintained well for 6 months without recurrence, and his present growth status is normal.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Recidiva
/
Vômito
/
Gastrostomia
/
Nutrição Enteral
/
Gastroparesia
/
Síndrome de Guillain-Barré
/
Dieta
/
Ingestão de Alimentos
/
Disautonomias Primárias
/
Amitriptilina
Limite:
Child
/
Humans
/
Male
Idioma:
En
Revista:
Pediatric Gastroenterology, Hepatology & Nutrition
Ano de publicação:
2015
Tipo de documento:
Article