|
KMID : 1038820150180020128
|
|
Pediatric Gastroenterology, Hepatology & Nutrition
2015 Volume.18 No. 2 p.128 ~ p.133
|
|
|
A Case of Visceral Autonomic Neuropathy Complicated by Guillain-Barre Syndrome Accompanied with Cyclic Vomiting Syndrome-like Disorder in a Child
|
|
Hong Suk-Jin
Choe Byung-Ho
|
|
|
Abstract
|
|
|
|
We present a case of an 8-year-old boy with visceral autonomic neuropathy complicated by Guillain-Barre syndrome. In this pediatric patient, gastroparesis was the major symptom among the autonomic symptoms. Due to the gastro-paresis, there was no progress with the oral diet, and nutrition was therefore supplied through a nasojejunal tube and gastrojejunal tube via Percutaneous endoscopic gastrostomy (PEG). After tube feeding for 9 months, the pa-tient’s gastrointestinal symptoms improved and his oral ingestion increased. The pediatric patient was maintained well without gastrointestinal symptoms for 3 months after removal of the PEG, had repeated vomiting episodes which lead to the suspicion of cyclic vomiting syndrome. Then he started treatment with low-dose amitriptyline, which re-sulted in improvement. Currently, the patient has been maintained well for 6 months without recurrence, and his present growth status is normal.
|
|
|
KEYWORD
|
|
|
Cyclical vomiting syndrome, Dysautonomia, Gastroparesis, Guillain-Barre syndrome, Child
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
 
|