Esophago-gastric motility and nutritional management in a child with ATR-X syndrome

Toshihiko Watanabe, Katsuhiro Arai, Masataka Takahashi, Michinobu Ohno, Kaori Sato, Yasushi Fuchimoto, Takahiko Wada, Shinobu Ida, Hisayoshi Kawahara, Yutaka Kanamori

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Abstract

X-linked alpha thalassemia mental retardation (ATR-X) syndrome is an X-linked recessive disorder that often involves gastrointestinal symptoms. Aspiration pneumonia related to gastroesophageal reflux has been reported as the major cause of death, but gastrointestinal function has not been well investigated. The present report describes a child with ATR-X syndrome who suffered from periodical episodes of refractory vomiting. We investigated the function of upper alimentary tract and found that esophago-gastric dysmotility and severe gastric volvulus were the major causes of gastrointestinal symptoms. This child was surgically treated with anterior gastropexy and jejunal alimentation through gastrostomy, and the symptoms were relieved with good weight gain. This report may provide insight into the gastrointestinal function and nutritional management in children with ATR-X syndrome.

Original languageEnglish
Pages (from-to)e48-e51
JournalPediatrics International
Volume56
Issue number4
DOIs
Publication statusPublished - 2014
Externally publishedYes

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Keywords

  • ATR-X syndrome
  • Gastroesophageal reflux
  • Motility
  • Nutritional access
  • PEG-J

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Watanabe, T., Arai, K., Takahashi, M., Ohno, M., Sato, K., Fuchimoto, Y., Wada, T., Ida, S., Kawahara, H., & Kanamori, Y. (2014). Esophago-gastric motility and nutritional management in a child with ATR-X syndrome. Pediatrics International, 56(4), e48-e51. https://doi.org/10.1111/ped.12402