Disorders of the gastrointestinal tract in children: consultation-liaison experience.
Disorders of the gastrointestinal tract are common in children. Fortunately, many are short-lived, related to infection, food intolerance, or specific etiology. Those that persist or recur require greater attention on the part of the physician and can require psychiatric consultation. The frequency of consultation will depend in large part on the psychosocial sophistication and philosophy of care of the referring physician. When consulted, the child psychiatrist can complement the medical care by examination in greater detail of the psychosocial environment of the child, the family, and by psychiatric evaluation of the child. Formulation of these factors may then point the way to more helpful management of the child and treatment. The most serious problems, such as regional ileitis and ulcerative colitis, require not only collaboration of pediatricians and child psychiatrist, but surgeons as well if patients are to receive optimum care.
D001010:Anxiety, Separation / Q000150:complications; D002648:Child; D002665:Child Psychiatry; D002675:Child, Preschool; D003093:Colitis, Ulcerative / Q000523:psychology; D003424:Crohn Disease / Q000523:psychology; D005190:Family; D005260:Female; D005767:Gastrointestinal Diseases / Q000523:psychology*; D006801:Humans; D008297:Male; D010437:Peptic Ulcer / Q000523:psychology / Q000628:therapy; D011247:Pregnancy; D011297:Prenatal Exposure Delayed Effects; D011613:Psychotherapy / Q000379:methods; D011707:Pyloric Stenosis / Q000209:etiology; D012017:Referral and Consultation; D013315:Stress, Psychological / Q000150:complications; D014839:Vomiting / Q000523:psychology