Fibers in pediatric functional gastrointestinal disorders. Practical considerations from clinical cases. (3rd June 2021)

• Record Type: Journal Article
• Authors: Romano, Claudio; Pallio, Socrate; Cucinotta, Ugo; Accorsi, Paola; Dipasquale, Valeria
• Is Part Of: Expert review of gastroenterology & hepatology. Volume 15:Number 6(2021)
• Page Start: 583
• Page End: 587
• Publication Date: 2021-06-03
• Subjects: Constipation -- diarrhea -- enteral nutrition -- fibers -- food intolerance -- functional gastrointestinal disorders -- irritable bowel syndrome -- neurological impairment -- partially hydrolyzed guar gum -- short bowel syndrome; Gastroenterology -- Periodicals; Liver -- Diseases -- Periodicals; 616.3
• DOI: 10.1080/17474124.2021.1884543
• Languages: English
• ISSNs: 1747-4124

Abstract

ABSTRACT: Introduction : Functional gastrointestinal disorders (FGIDs) are common in children and incur high direct and indirect social costs. Partially hydrolyzed guar gum (PHGG) is a natural and water-soluble dietary fiber that is derived from guar gum. It has been proposed as complementary therapy in pediatric FGIDs, especially in chronic functional constipation and irritable bowel syndrome. Areas covered : By focusing on four clinical cases, this article illustrates the use of PHGG fiber as sole supplement ingredient or as a formula component in orally- and tube-fed children suffering from malnutrition due to FGIDs, with or without special medical conditions such as neurological disability. The formula used was a whey peptide-based nutritionally complete formula containing PHGG as a source of soluble dietary fiber. It was offered under medical supervision and after full consideration of all feeding options. Expert opinion : Implementing appropriate feeding behaviors, adapted to age and potential comorbidities, is an essential requisite for therapeutic management of FGIDs. The use of a PHGG supplement or a nutritionally complete formula containing PHGG as a source of soluble dietary fiber can be helpful to manage pediatric FGIDs.