[Extreme dietary selectivity following liver transplantation in a 5-year-old girl; management via behavior therapy].
In a 5.1-year-old girl who had been treated by surgical correction of biliary atresia and total orthotopic liver transplantation, extreme dietary selectivity was noted; this was treated by behaviour therapy. On entry in the rehabilitation centre, she manifested malnutrition along with a variety of gastro-enterologic complaints. The treatment consisted of a set of behavioural procedures such as stepwise expansion of the diet, verbal prompting, intermittent contingent attention and a list of agreements with a system of rewards; this led to the elimination of the dietary selectivity and to the consumption of a varied diet in a normal tempo.
de Moor
J M
JM
Revalidatiecentrum Groot Klimmendaal, afd. Kinderrevalidatie, Arnhem.
Brons
E
E
Kokke
F T
FT
Vos
H
H
Tolboom
J J
JJ
D001521:Behavior Therapy / Q000379:methods*; D001656:Biliary Atresia / Q000601:surgery*; D002675:Child, Preschool; D001068:Feeding and Eating Disorders / Q000209:etiology* / Q000628:therapy; D005260:Female; D005518:Food Preferences; D006801:Humans; D016031:Liver Transplantation / Q000009:adverse effects; D044342:Malnutrition / Q000209:etiology / Q000628:therapy; D012201:Reward