Gabapentin Can Improve Irritability and Feeding Tolerance in Single Ventricle Interstage Patients: A Case Series

Pediatr Cardiol. 2023 Feb;44(2):487-493. doi: 10.1007/s00246-022-03009-5. Epub 2022 Sep 21.

Abstract

Visceral hyperalgesia is common among children with complex medical conditions. Infants with complex congenital heart disease, specifically single ventricle interstage patients, are often found to have feeding intolerance and irritability. Gabapentin treatment has shown promise for symptomatic improvement for visceral hyperalgesia in some patients. We present a case series of five patients in which four of the five patients showed improvement within 48 h of starting gabapentin. The use of gabapentin in single ventricle interstage patients to treat visceral hyperalgesia shows promise based on our case series, but future multi-center prospective studies would be beneficial.

Keywords: Feeding intolerance; Gabapentin; Interstage; Single ventricle; Visceral hyperalgesia.

Publication types

  • Case Reports

MeSH terms

  • Child
  • Gabapentin / therapeutic use
  • Heart Defects, Congenital*
  • Heart Ventricles / abnormalities
  • Humans
  • Hyperalgesia
  • Hypoplastic Left Heart Syndrome*
  • Infant
  • Infant, Newborn
  • Prospective Studies
  • Retrospective Studies
  • Treatment Outcome
  • Univentricular Heart*

Substances

  • Gabapentin