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10.1016/j.rpped.2015.01.003 http://scihub22266oqcxt.onion/10.1016/j.rpped.2015.01.003 C4620966!4620966!26100594     free     free     free Deprecated: Implicit conversion from float 227.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 227.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Rev+Paul+Pediatr 2015 ; 33 (3): 371-5 Nephropedia Template TP {{tp|p=26100594|t=2015. Pathologic aerophagia: a rare cause of chronic abdominal distension |pdf=|usr=}}{{26100594}} gab.com Text Pathologic aerophagia: a rare cause of chronic abdominal distension JO: Rev Paul Pediatr http://www.kidney.de/pget.php?&tw=1&pmid=26100594 #FOAvip Objective:: To describe an adolescent with pathologic aerophagia, a rare condition caused by excessive and inappropriate swallowing of air and to review its treatment and differential diagnoses. Case description:: An 11-year-old mentally impaired blind girl presenting serious behavior problems and severe developmental delay with abdominal distension from the last 8 months. Her past history included a Nissen fundoplication. Abdominal CT and abdominal radiographs showed diffuse gas distension of the small bowel and colon. Hirschsprung's disease was excluded. The distention was minimal at the moment the child awoke and maximal at evening, and persisted after control of constipation. Audible repetitive and frequent movements of air swallowing were observed. The diagnosis of pathologic aerophagia associated to obsessive-compulsive disorder and developmental delay was made, but pharmacological treatment was unsuccessful. The patient was submitted to an endoscopic gastrostomy, permanently opened and elevated relative to the stomach. The distention was resolved, while maintaining oral nutrition. Comments:: Pathologic aerophagia is a rare self-limiting condition in normal children exposed to high levels of stress and may be a persisting problem in children with psychiatric or neurologic disease. In this last group, the disease may cause serious complications. Pharmacological and behavioral treatments are ill-defined. Severe cases may demand surgical strategies, mainly decompressive gastrostomy. Twit Text FOAVip Pathologic aerophagia: a rare cause of chronic abdominal distension ????Rev Paul Pediatr http://www.kidney.de/pget.php?&tw=1&pmid=26100594 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=26100594 #FOAvip English Wikipedia <ref>{{Cite pmid|26100594}}</ref> Pathologic aerophagia: a rare cause of chronic abdominal distension #MMPMID26100594 de Jesus LE; Cestari ABC; da Silva OC; Fernandes MA; Firme LH Rev Paul Pediatr 2015[Jul]; 33 (3): 371-5 PMID26100594show ga Objective:: To describe an adolescent with pathologic aerophagia, a rare condition caused by excessive and inappropriate swallowing of air and to review its treatment and differential diagnoses. Case description:: An 11-year-old mentally impaired blind girl presenting serious behavior problems and severe developmental delay with abdominal distension from the last 8 months. Her past history included a Nissen fundoplication. Abdominal CT and abdominal radiographs showed diffuse gas distension of the small bowel and colon. Hirschsprung's disease was excluded. The distention was minimal at the moment the child awoke and maximal at evening, and persisted after control of constipation. Audible repetitive and frequent movements of air swallowing were observed. The diagnosis of pathologic aerophagia associated to obsessive-compulsive disorder and developmental delay was made, but pharmacological treatment was unsuccessful. The patient was submitted to an endoscopic gastrostomy, permanently opened and elevated relative to the stomach. The distention was resolved, while maintaining oral nutrition. Comments:: Pathologic aerophagia is a rare self-limiting condition in normal children exposed to high levels of stress and may be a persisting problem in children with psychiatric or neurologic disease. In this last group, the disease may cause serious complications. Pharmacological and behavioral treatments are ill-defined. Severe cases may demand surgical strategies, mainly decompressive gastrostomy. äPathologic aerophagia: a rare cause of chronic abdominal distension (epmc).pdf DeepDyve Pubget Overpricing