Functional gastrointestinal disorders are characterized by chronic or recurrent gastrointestinal symptoms that are not explained by structural or biomechanical abnormalities. These disorders can potentially affect appetite and interfere with normal feeding routines. Diagnostic testing results (X-rays, CT scans, lab work, endoscopy) are typically normal. However functional disorders of the esophagus, such as achalasia, is a condition caused by loss of ganglion cells resulting in a denervation of the esophageal musculature and failure of smooth muscles fibers to relax in the upper or lower esophageal sphincters. Viral or autoimmune processes are thought to be involved in etiology. The complexity of these disorders may lead to a feeding and swallowing assessment, along with medical team management. Understanding, recognizing and appropriately referring for these conditions requires basic knowledge and their impact on the pediatric population with regard to oral intake, weight gain and developmental milestones.
The participant will be able to:
- Identify and define 3 functional disorders of the pediatric esophagus.
- Identify and define 3 functional disorders of the pediatric gastrointestinal tract.
- Identify the laryngeal adductor reflex and its role in protecting the upper airway.
- 10 minutes — Overview
- 20 minutes – Functional disorders of the esophagus: the bad and the ugly
- 20 minutes – Functional disorders of the GI tract: regurgitation, rumination, aerophagia and then some
- 20 minutes – Video examples
- 10 minutes – Referrals & what can be done
- 10 minutes — Wrap-up/Q&A