Publication: Evaluation, diagnosis, and treatment of gastrointestinal disorders in individuals with ASDs: A consensus report
Issued Date
2010-01-01
Resource Type
ISSN
10984275
00314005
00314005
Other identifier(s)
2-s2.0-73949128465
Rights
Mahidol University
Rights Holder(s)
SCOPUS
Bibliographic Citation
Pediatrics. Vol.125, No.SUPPL. 1 (2010)
Suggested Citation
Timothy Buie, Daniel B. Campbell, George J. Fuchs, Glenn T. Furuta, Joseph Levy, Judy Van De Water, Agnes H. Whitaker, Dan Atkins, Margaret L. Bauman, Arthur L. Beaudet, Edward G. Carr, Michael D. Gershon, Susan L. Hyman, Pipop Jirapinyo, Harumi Jyonouchi, Koorosh Kooros, Rafail Kushak, Pat Levitt, Susan E. Levy, Jeffery D. Lewis, Katherine F. Murray, Marvin R. Natowicz, Aderbal Sabra, Barry K. Wershil, Sharon C. Weston, Lonnie Zeltzer, Harland Winter Evaluation, diagnosis, and treatment of gastrointestinal disorders in individuals with ASDs: A consensus report. Pediatrics. Vol.125, No.SUPPL. 1 (2010). doi:10.1542/peds.2009-1878C Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/29893
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Title
Evaluation, diagnosis, and treatment of gastrointestinal disorders in individuals with ASDs: A consensus report
Author(s)
Timothy Buie
Daniel B. Campbell
George J. Fuchs
Glenn T. Furuta
Joseph Levy
Judy Van De Water
Agnes H. Whitaker
Dan Atkins
Margaret L. Bauman
Arthur L. Beaudet
Edward G. Carr
Michael D. Gershon
Susan L. Hyman
Pipop Jirapinyo
Harumi Jyonouchi
Koorosh Kooros
Rafail Kushak
Pat Levitt
Susan E. Levy
Jeffery D. Lewis
Katherine F. Murray
Marvin R. Natowicz
Aderbal Sabra
Barry K. Wershil
Sharon C. Weston
Lonnie Zeltzer
Harland Winter
Daniel B. Campbell
George J. Fuchs
Glenn T. Furuta
Joseph Levy
Judy Van De Water
Agnes H. Whitaker
Dan Atkins
Margaret L. Bauman
Arthur L. Beaudet
Edward G. Carr
Michael D. Gershon
Susan L. Hyman
Pipop Jirapinyo
Harumi Jyonouchi
Koorosh Kooros
Rafail Kushak
Pat Levitt
Susan E. Levy
Jeffery D. Lewis
Katherine F. Murray
Marvin R. Natowicz
Aderbal Sabra
Barry K. Wershil
Sharon C. Weston
Lonnie Zeltzer
Harland Winter
Other Contributor(s)
Harvard Medical School
Learning and Development Disabilities Evaluation and Rehabilitation Services
Massachusetts General Hospital
Keck School of Medicine of USC
University of Arkansas for Medical Sciences
Children's Hospital Denver
National Jewish Health
University of Colorado Health Sciences Center
NYU School of Medicine
University of California, Davis
Columbia University Medical Center
University of Colorado School of Medicine
Baylor College of Medicine
Stony Brook University
Columbia University, College of Physicians and Surgeons
Golisano Children's Hospital at Strong
Mahidol University
Rutgers New Jersey Medical School
University of Pennsylvania
Children's Center for Digestive Health Care
Cleveland Clinic Foundation
Universidade do Grande Rio (Unigranrio)
Northwestern University Feinberg School of Medicine
Children's Hospital Boston
David Geffen School of Medicine at UCLA
Learning and Development Disabilities Evaluation and Rehabilitation Services
Massachusetts General Hospital
Keck School of Medicine of USC
University of Arkansas for Medical Sciences
Children's Hospital Denver
National Jewish Health
University of Colorado Health Sciences Center
NYU School of Medicine
University of California, Davis
Columbia University Medical Center
University of Colorado School of Medicine
Baylor College of Medicine
Stony Brook University
Columbia University, College of Physicians and Surgeons
Golisano Children's Hospital at Strong
Mahidol University
Rutgers New Jersey Medical School
University of Pennsylvania
Children's Center for Digestive Health Care
Cleveland Clinic Foundation
Universidade do Grande Rio (Unigranrio)
Northwestern University Feinberg School of Medicine
Children's Hospital Boston
David Geffen School of Medicine at UCLA
Abstract
Autism spectrum disorders (ASDs) are common and clinically heterogeneous neurodevelopmental disorders. Gastrointestinal disorders and associated symptoms are commonly reported in individuals with ASDs, but key issues such as the prevalence and best treatment of these conditions are incompletely understood. A central difficulty in recognizing and characterizing gastrointestinal dysfunction with ASDs is the communication difficulties experienced by many affected individuals. A multidisciplinary panel reviewed the medical literature with the aim of generating evidence-based recommendations for diagnostic evaluation and management of gastrointestinal problems in this patient population. The panel concluded that evidence-based recommendations are not yet available. The consensus expert opinion of the panel was that individuals with ASDs deserve the same thoroughness and standard of care in the diagnostic workup and treatment of gastrointestinal concerns as should occur for patients without ASDs. Care providers should be aware that problem behavior in patients with ASDs may be the primary or sole symptom of the underlying medical condition, including some gastrointestinal disorders. For these patients, integration of behavioral and medical care may be most beneficial. Priorities for future research are identified to advance our understanding and management of gastrointestinal disorders in persons with ASDs. Copyright © 2009 by the American Academy of Pediatrics.