title: Severe pediatric rumination syndrome: successful interdisciplinary inpatient management.
abstract: BACKGROUND
  Rumination syndrome is a condition that occurs when people constantly regurgitate and expel or reswallow food soon after they eat. The most severe cases of rumination syndrome can be debilitating, requiring total parenteral nutrition or enteral tube feedings. We report our experience with the treatment of children with severe rumination syndrome.
  
  
  METHODS
  Five patients with severe rumination syndrome received a novel inpatient interdisciplinary approach, which involved pediatric psychology, pediatric gastroenterology, clinical nutrition, child life, therapeutic recreation, and massage therapy.
  
  
  RESULTS
  Inpatient hospitalization lasted between 9 and 13 days. The treatment was successful in all 5 of the patients. They left with complete caloric intake orally.
  
  
  CONCLUSIONS
  This treatment protocol could benefit pediatric gastroenterologists, pediatricians, and child psychologists in managing both standard and severe cases of rumination syndrome.
authors.affiliation: Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Nationwide Children's Hospital, 700 Children's Dr, Columbus, OH 43205, USA. alex.green@nationwidechildrens.org
authors.forename: Alex D
authors.initials: AD
authors.lastname: Green
authors.forename: Anthony
authors.initials: A
authors.lastname: Alioto
authors.forename: Hayat
authors.initials: H
authors.lastname: Mousa
authors.forename: Carlo
authors.initials: C
authors.lastname: Di Lorenzo
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology; D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology; D041923:Adolescent Development; D001521:Behavior Therapy; D019959:Feeding and Eating Disorders of Childhood / Q000178:diet therapy / Q000523:psychology / Q000534:rehabilitation / Q000628:therapy*; D005260:Female; D006184:Habits; D006801:Humans; D008297:Male; D008405:Massage / Q000523:psychology; D010348:Patient Care Team; D057173:Recreation Therapy / Q000523:psychology; D016896:Treatment Outcome; D055815:Young Adult