Recognition and Management of Feeding Dysfunction in the Pediatric Patient with Eosinophilic Esophagitis

Abstract

Feeding is a complex skill requiring coordination of multiple body systems. Multiple factors are considered in feeding dysfunction in pediatric patients with eosinophilic gastrointestinal disorders, including overall development, nutritional status, mealtime behaviors, and medical comorbidities. Symptoms of feeding dysfunction vary by age, with maladaptive learned feeding behaviors spanning all age ranges. Knowledge of the normal acquisition of feeding skills is critical to interpret the impact of the disease and plan appropriate intervention. Assessment and treatment from a feeding and swallowing disorders specialist can dramatically impact successful outcomes in nutrition, growth, mealtime dynamics and ultimatly quality of life for children and their caregivers in home and social settings.

Keywords: Compensatory strategies; Dysphagia; Eosinophilic esophagitis; Feeding dysfunction; Food refusal; Gagging; Maladaptive learned feeding difficulties; Vomiting.