Review: Some nonpharmacologic Tx effective in peds GI disorders

Review: some nonpharmacologic tx effective in peds GI disorders

(HealthDay)—Certain nonpharmacologic treatments are effective in pediatric abdominal pain-related functional gastrointestinal disorders (AP-FGIDs), according to a review published online Feb. 9 in Pediatrics.

Juliette M.T.M. Rutten, M.D., from Emma's Children's Hospital in Amsterdam, and colleagues conducted a systematic review of the literature relating to nonpharmacologic interventions for pediatric AP-FGIDs. Data were included from 24 randomized controlled trials that included 1,390 children.

The researchers observed significant improvement of after hypnotherapy versus standard care/wait list approaches and after versus control/wait list approaches. At the six-month follow-up only, written self-disclosure improved pain frequency. Significantly more treatment responders were seen with Lactobacillus rhamnosus GG (LGG) and VSL#3 versus placebo (LGG relative risk, 1.31; VSL#3 P < 0.05). Irritable bowel syndrome symptom frequency was significantly improved with guar gum but there was no effect seen for other fiber supplements or a lactose-free diet. Compared with a wait-list approach, yoga was not associated with a significant decrease in functional disability. There were no reports of serious adverse events. Evidence quality was found to be very low to moderate.

"Although high-quality studies are lacking, some evidence shows efficacy of hypnotherapy, cognitive behavioral therapy, and probiotics (LGG and VSL#3) in pediatric AP-FGIDs," the authors write.

Explore further

Childhood functional stomach pain ups risk for later anxiety

More information: Abstract
Full Text (subscription or payment may be required)
Journal information: Pediatrics

Copyright © 2015 HealthDay. All rights reserved.

Citation: Review: Some nonpharmacologic Tx effective in peds GI disorders (2015, February 9) retrieved 11 August 2020 from
This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only.

Feedback to editors

User comments