Gastrointestinal Conditions in Children With Severe Feeding Difficulties

Feeding aversion in children may progress to severe feeding difficulties. While oral-motor and sensory issues are usually the leading causes, organic etiologies should be considered. This study aimed to assess the prevalence of gastrointestinal conditions in children with severe feeding difficulties...

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Published inGlobal pediatric health Vol. 6; p. 2333794X19838536
Main Authors Rivera-Nieves, Desiree, Conley, Anita, Nagib, Keri, Shannon, Kaiya, Horvath, Karoly, Mehta, Devendra
Format Journal Article
LanguageEnglish
Published Los Angeles, CA SAGE Publications 2019
Sage Publications Ltd
SAGE Publishing
Subjects
Endoscopy
Original
Yogurt
intensive feeding program
feeding difficulties
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Abstract Feeding aversion in children may progress to severe feeding difficulties. While oral-motor and sensory issues are usually the leading causes, organic etiologies should be considered. This study aimed to assess the prevalence of gastrointestinal conditions in children with severe feeding difficulties. We conducted a retrospective study of 93 children requiring an intensive feeding program. The medical records, radiologic and diagnostic tests, use of gastric tube feedings, preexisting medical conditions, and medications were reviewed. Fifty-two percent (52%) had esophagitis, 26.2% gastritis, and 40.7% lactase deficiency in upper endoscopy. In those who underwent an upper endoscopy, 26% of patients that were also tested for small intestinal bacterial overgrowth were found to be positive. Allergy testing was abnormal in 56.6% of those tested, while 27.5% and 75% had abnormal gastric emptying times and pH impedance results, respectively. Constipation was present in 76.3%. Thirteen of 32 were weaned off tube feedings. We conclude that gastrointestinal conditions are common in children with feeding disorders and should be investigated prior to feeding therapy.
AbstractList Feeding aversion in children may progress to severe feeding difficulties. While oral-motor and sensory issues are usually the leading causes, organic etiologies should be considered. This study aimed to assess the prevalence of gastrointestinal conditions in children with severe feeding difficulties. We conducted a retrospective study of 93 children requiring an intensive feeding program. The medical records, radiologic and diagnostic tests, use of gastric tube feedings, preexisting medical conditions, and medications were reviewed. Fifty-two percent (52%) had esophagitis, 26.2% gastritis, and 40.7% lactase deficiency in upper endoscopy. In those who underwent an upper endoscopy, 26% of patients that were also tested for small intestinal bacterial overgrowth were found to be positive. Allergy testing was abnormal in 56.6% of those tested, while 27.5% and 75% had abnormal gastric emptying times and pH impedance results, respectively. Constipation was present in 76.3%. Thirteen of 32 were weaned off tube feedings. We conclude that gastrointestinal conditions are common in children with feeding disorders and should be investigated prior to feeding therapy.
Feeding aversion in children may progress to severe feeding difficulties. While oral-motor and sensory issues are usually the leading causes, organic etiologies should be considered. This study aimed to assess the prevalence of gastrointestinal conditions in children with severe feeding difficulties. We conducted a retrospective study of 93 children requiring an intensive feeding program. The medical records, radiologic and diagnostic tests, use of gastric tube feedings, preexisting medical conditions, and medications were reviewed. Fifty-two percent (52%) had esophagitis, 26.2% gastritis, and 40.7% lactase deficiency in upper endoscopy. In those who underwent an upper endoscopy, 26% of patients that were also tested for small intestinal bacterial overgrowth were found to be positive. Allergy testing was abnormal in 56.6% of those tested, while 27.5% and 75% had abnormal gastric emptying times and pH impedance results, respectively. Constipation was present in 76.3%. Thirteen of 32 were weaned off tube feedings. We conclude that gastrointestinal conditions are common in children with feeding disorders and should be investigated prior to feeding therapy.
Author Conley, Anita
Shannon, Kaiya
Horvath, Karoly
Mehta, Devendra
Rivera-Nieves, Desiree
Nagib, Keri
AuthorAffiliation 2 Feeding Difficulties Center, Arnold Palmer Hospital for Children, Orlando, FL, USA
1 Center for Digestive Health and Nutrition, Arnold Palmer Hospital for Children, Orlando, FL, USA
AuthorAffiliation_xml – name: 1 Center for Digestive Health and Nutrition, Arnold Palmer Hospital for Children, Orlando, FL, USA
– name: 2 Feeding Difficulties Center, Arnold Palmer Hospital for Children, Orlando, FL, USA
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  givenname: Desiree
  orcidid: 0000-0001-6378-1981
  surname: Rivera-Nieves
  fullname: Rivera-Nieves, Desiree
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  givenname: Anita
  surname: Conley
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BackLink https://www.ncbi.nlm.nih.gov/pubmed/31020010$$D View this record in MEDLINE/PubMed
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CitedBy_id crossref_primary_10_1044_2023_JSLHR_23_00303
crossref_primary_10_3390_nu14020365
crossref_primary_10_3390_nu12092822
crossref_primary_10_1111_pai_13856
Cites_doi 10.1136/adc.73.2.121
10.1111/j.1440-1754.2006.00812.x
10.1016/j.jpedsurg.2012.03.002
10.1097/MEG.0000000000000946
10.1097/NMC.0000000000000249
10.1542/peds.108.3.671
10.1542/pir.34-12-549
10.1097/00001163-199310000-00010
10.1046/j.1365-2982.2003.00463.x
10.1152/ajpgi.00082.2001
10.1002/ddrr.19
10.2478/v10039-011-0038-7
10.1097/MEG.0b013e32835eb916
10.1177/0009922809336074
10.1002/ajmg.a.38401
10.1177/0884533617707493
10.1097/00005176-200307000-00014
10.3389/fped.2017.00127
10.1037/0893-3200.20.3.409
10.1542/peds.2014-1630
10.1007/s00431-011-1522-6
10.1016/j.jpeds.2016.10.002
10.1016/S1542-3565(05)00885-2
10.1590/1414-431X20132448
10.1177/0009922815593499
10.1007/s00455-004-0026-1
10.1007/s00784-016-1996-8
10.1097/ACI.0b013e328360949d
10.1007/s00535-012-0608-x
10.1002/eat.20795
10.1097/MEG.0000000000000979
10.1007/s00787-017-1039-2
10.1016/j.jpedsurg.2015.10.015
10.1097/MPG.0000000000001401
10.1007/s11920-012-0293-8
10.1016/S0929-693X(17)30058-1
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Keywords intensive feeding program
feeding difficulties
Language English
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References Schwarz, Corredor, Fisher-Medina, Cohen, Rabinowitz 2001; 108
Mahoney, Rosen 2017; 5
Sharp, Volkert, Scahill, McCracken, McElhanon 2017; 181
Wang, Yu, Zhang, Zhang, Lu, Liu 2018; 27
Rommel, De Meyer, Feenstra, Veereman-Wauters 2003; 37
Lee, Paik, Chung, Yang, Choi 2013; 25
Ide, Van Biervliet, Thijs, Velde, De Bruyne, Van Winckel 2011; 170
Sorser, Barawi, Hagglund, Almojaned, Lyons 2013; 48
Krishnan, Mousa, Dall’Oglio 2016; 63
Baran, Appak, Karakoyun, Yalcinkaya, Eliacik, Dundar 2017; 29
Heine, Jaquiery, Lubitz, Cameron, Catto-Smith 1995; 73
Mehta, Groetch, Wang 2013; 13
Bjornsson, Chey, Hooper, Woods, Owyang, Hasler 2002; 283
Kreipe, Palomaki 2012; 14
Davies, Satter, Berlin 2006; 20
Islam, McLaughlin, Pierson, Jolley, Kedar, Abell 2016; 51
Kerzner 2009; 48
Bernard-Bonnin 2006; 52
Cooper-Brown, Copeland, Dailey 2008; 14
Liacouras, Spergel, Ruchelli 2005; 3
Iwanczak, Janczyk, Ryzko 2011; 56
Coremans, Geypens, Vos 2004; 16
Palmer, Heyman 1993; 6
Kerzner, Milano, MacLean, Berall, Stuart, Chatoor 2015; 135
Sieczkowska, Landowski, Zagozdzon, Kaminska, Lifschitz 2017; 29
Bryant-Waugh, Markham, Kreipe, Walsh 2010; 43
Heine, Jordan, Lubitz, Meehan, Catto-Smith 2006; 42
de Vries, Breugem, van der Heul, Eijkemans, Kon, van der Molen 2014; 18
Glassman, Grocott, Kunz 2017; 173
Dobbelsteyn, Marche, Blake, Rashid 2005; 20
Paes, de Vries, Penris 2017; 21
Al-Shanafey, Alkhudhur 2012; 47
Hopkins, Cermak, Merritt 2017; 33
Yeung, Taylor, Scheimann 2015; 54
Estrem, Pados, Thoyre, Knafl, McComish, Park 2016; 41
Debray, Mas, Munck, Gerardin, Clouzeau 2016; 23
Phalen 2013; 34
Fernandes, Lima, Camargo, Collares, Bustorff-Silva, Lomazi 2013; 46
bibr28-2333794X19838536
bibr10-2333794X19838536
bibr6-2333794X19838536
bibr15-2333794X19838536
bibr37-2333794X19838536
bibr2-2333794X19838536
bibr24-2333794X19838536
bibr31-2333794X19838536
de Vries IA (bibr22-2333794X19838536) 2014; 18
bibr29-2333794X19838536
bibr30-2333794X19838536
bibr8-2333794X19838536
bibr16-2333794X19838536
bibr7-2333794X19838536
bibr12-2333794X19838536
bibr25-2333794X19838536
bibr38-2333794X19838536
bibr21-2333794X19838536
Hopkins J (bibr26-2333794X19838536) 2017; 33
bibr34-2333794X19838536
bibr4-2333794X19838536
bibr17-2333794X19838536
Bernard-Bonnin AC. (bibr3-2333794X19838536) 2006; 52
bibr9-2333794X19838536
bibr18-2333794X19838536
bibr13-2333794X19838536
bibr33-2333794X19838536
bibr20-2333794X19838536
bibr35-2333794X19838536
bibr5-2333794X19838536
bibr27-2333794X19838536
bibr11-2333794X19838536
bibr14-2333794X19838536
bibr19-2333794X19838536
bibr32-2333794X19838536
Bryant-Waugh R (bibr1-2333794X19838536) 2010; 43
bibr23-2333794X19838536
bibr36-2333794X19838536
References_xml – volume: 170
  start-page: 1453
  year: 2011
  end-page: 1455
  article-title: Solid food refusal as the presenting sign of vitamin B12 deficiency in a breastfed infant
  publication-title: Eur J Pediatr
  contributor:
    fullname: Van Winckel
– volume: 18
  start-page: 1507
  year: 2014
  end-page: 1515
  article-title: Prevalence of feeding disorders in children with cleft palate only: a retrospective study
  publication-title: Clin Oral Investig
  contributor:
    fullname: van der Molen
– volume: 3
  start-page: 1198
  year: 2005
  end-page: 1206
  article-title: Eosinophilic esophagitis: a 10-year experience in 381 children
  publication-title: Clin Gastroenterol Hepatol
  contributor:
    fullname: Ruchelli
– volume: 135
  start-page: 344
  year: 2015
  end-page: 353
  article-title: A practical approach to classifying and managing feeding difficulties
  publication-title: Pediatrics
  contributor:
    fullname: Chatoor
– volume: 29
  start-page: 1264
  year: 2017
  end-page: 1268
  article-title: The overlap of gastroesophageal reflux disease and functional constipation in children: the efficacy of constipation treatment
  publication-title: Eur J Gastroenterol Hepatol
  contributor:
    fullname: Dundar
– volume: 14
  start-page: 421
  year: 2012
  end-page: 431
  article-title: Beyond picky eating: avoidant/restrictive food intake disorder
  publication-title: Curr Psychiatry Rep
  contributor:
    fullname: Palomaki
– volume: 43
  start-page: 98
  year: 2010
  end-page: 111
  article-title: Feeding and eating disorders in childhood
  publication-title: Int J Eat Disord
  contributor:
    fullname: Walsh
– volume: 34
  start-page: 549
  year: 2013
  end-page: 557
  article-title: Managing feeding problems and feeding disorders
  publication-title: Pediatr Rev
  contributor:
    fullname: Phalen
– volume: 181
  start-page: 116
  year: 2017
  end-page: 124.e4
  article-title: A systematic review and meta-analysis of intensive multidisciplinary intervention for pediatric feeding disorders: how standard is the standard of care?
  publication-title: J Pediatr
  contributor:
    fullname: McElhanon
– volume: 54
  start-page: 1081
  year: 2015
  end-page: 1086
  article-title: The prevalence of food allergies in children referred to a multidisciplinary feeding program
  publication-title: Clin Pediatr (Phila)
  contributor:
    fullname: Scheimann
– volume: 37
  start-page: 75
  year: 2003
  end-page: 84
  article-title: The complexity of feeding problems in 700 infants and young children presenting to a tertiary care institution
  publication-title: J Pediatr Gastroenterol Nutr
  contributor:
    fullname: Veereman-Wauters
– volume: 73
  start-page: 121
  year: 1995
  end-page: 125
  article-title: Role of gastro-oesophageal reflux in infant irritability
  publication-title: Arch Dis Child
  contributor:
    fullname: Catto-Smith
– volume: 23
  start-page: 12S15
  year: 2016
  end-page: 12S20
  article-title: Liver disease, gastrointestinal complications, nutritional management and feeding disorders in pediatric cystic fibrosis [in French]
  publication-title: Arch Pediatr
  contributor:
    fullname: Clouzeau
– volume: 20
  start-page: 409
  year: 2006
  end-page: 417
  article-title: Reconceptualizing feeding and feeding disorders in interpersonal context: the case for a relational disorder
  publication-title: J Fam Psychol
  contributor:
    fullname: Berlin
– volume: 6
  start-page: 67
  year: 1993
  end-page: 73
  article-title: Assessment and treatment of sensory versus motor-based feeding problems in very young children
  publication-title: Inf Yng Child
  contributor:
    fullname: Heyman
– volume: 20
  start-page: 89
  year: 2005
  end-page: 100
  article-title: Early oral sensory experiences and feeding development in children with CHARGE syndrome: a report of five cases
  publication-title: Dysphagia
  contributor:
    fullname: Rashid
– volume: 21
  start-page: 2063
  year: 2017
  end-page: 2076
  article-title: Growth and prevalence of feeding difficulties in children with Robin sequence: a retrospective cohort study
  publication-title: Clin Oral Investig
  contributor:
    fullname: Penris
– volume: 47
  start-page: 895
  year: 2012
  end-page: 897
  article-title: Food aversion among patients with persistent hyperinsulinemic hypoglycemia of infancy
  publication-title: J Pediatr Surg
  contributor:
    fullname: Alkhudhur
– volume: 27
  start-page: 233
  year: 2018
  end-page: 240
  article-title: Hydrogen breath test to detect small intestinal bacterial overgrowth: a prevalence case-control study in autism
  publication-title: Eur Child Adolesc Psychiatry
  contributor:
    fullname: Liu
– volume: 108
  start-page: 671
  year: 2001
  end-page: 676
  article-title: Diagnosis and treatment of feeding disorders in children with developmental disabilities
  publication-title: Pediatrics
  contributor:
    fullname: Rabinowitz
– volume: 48
  start-page: 81
  year: 2013
  end-page: 85
  article-title: Eosinophilic esophagitis in children and adolescents: epidemiology, clinical presentation and seasonal variation
  publication-title: J Gastroenterol
  contributor:
    fullname: Lyons
– volume: 41
  start-page: 212
  year: 2016
  end-page: 220
  article-title: Concept of pediatric feeding problems from the parent perspective
  publication-title: MCN Am J Matern Child Nurs
  contributor:
    fullname: Park
– volume: 14
  start-page: 147
  year: 2008
  end-page: 157
  article-title: Feeding and swallowing dysfunction in genetic syndromes
  publication-title: Dev Disabil Res Rev
  contributor:
    fullname: Dailey
– volume: 16
  start-page: 107
  year: 2004
  end-page: 111
  article-title: Influence of continuous isobaric rectal distension on gastric emptying and small bowel transit in young healthy women
  publication-title: Neurogastroenterol Motil
  contributor:
    fullname: Vos
– volume: 283
  start-page: G400
  year: 2002
  end-page: G407
  article-title: Impaired gastrocolonic response and peristaltic reflex in slow-transit constipation: role of 5-HT(3) pathways
  publication-title: Am J Physiol Gastrointest Liver Physiol
  contributor:
    fullname: Hasler
– volume: 42
  start-page: 134
  year: 2006
  end-page: 139
  article-title: Clinical predictors of pathological gastro-oesophageal reflux in infants with persistent distress
  publication-title: J Paediatr Child Health
  contributor:
    fullname: Catto-Smith
– volume: 173
  start-page: 2703
  year: 2017
  end-page: 2709
  article-title: Prevalence of gastrointestinal symptoms in Angelman syndrome
  publication-title: Am J Med Genet A
  contributor:
    fullname: Kunz
– volume: 25
  start-page: 726
  year: 2013
  end-page: 732
  article-title: Breath methane positivity is more common and higher in patients with objectively proven delayed transit constipation
  publication-title: Eur J Gastroenterol Hepatol
  contributor:
    fullname: Choi
– volume: 48
  start-page: 960
  year: 2009
  end-page: 965
  article-title: Clinical investigation of feeding difficulties in young children: a practical approach
  publication-title: Clin Pediatr (Phila)
  contributor:
    fullname: Kerzner
– volume: 63
  start-page: 550
  year: 2016
  end-page: 570
  article-title: ESPGHAN-NASPGHAN guidelines for the evaluation and treatment of gastrointestinal and nutritional complications in children with esophageal atresia-tracheoesophageal fistula
  publication-title: J Pediatr Gastroenterol Nutr
  contributor:
    fullname: Dall’Oglio
– volume: 29
  start-page: 1190
  year: 2017
  end-page: 1191
  article-title: The association of proton pump inhibitor therapy and small bowel bacterial overgrowth in children
  publication-title: Eur J Gastroenterol Hepatol
  contributor:
    fullname: Lifschitz
– volume: 46
  start-page: 293
  year: 2013
  end-page: 298
  article-title: Gastric emptying of water in children with severe functional fecal retention
  publication-title: Braz J Med Biol Res
  contributor:
    fullname: Lomazi
– volume: 51
  start-page: 67
  year: 2016
  end-page: 71
  article-title: Long-term outcomes of gastric electrical stimulation in children with gastroparesis
  publication-title: J Pediatr Surg
  contributor:
    fullname: Abell
– volume: 33
  start-page: 99
  year: 2017
  end-page: 106
  article-title: Oral feeding difficulties in children with short bowel syndrome: a narrative review
  publication-title: Nutr Clin Pract
  contributor:
    fullname: Merritt
– volume: 5
  start-page: 127
  year: 2017
  article-title: Feeding problems and their underlying mechanisms in the esophageal atresia-tracheoesophageal fistula patient
  publication-title: Front Pediatr
  contributor:
    fullname: Rosen
– volume: 56
  start-page: 151
  year: 2011
  end-page: 157
  article-title: Eosinophilic esophagitis in children: frequency, clinical manifestations, endoscopic findings, and seasonal distribution
  publication-title: Adv Med Sci
  contributor:
    fullname: Ryzko
– volume: 13
  start-page: 275
  year: 2013
  end-page: 279
  article-title: Growth and nutritional concerns in children with food allergy
  publication-title: Curr Opin Allergy Clin Immunol
  contributor:
    fullname: Wang
– volume: 52
  start-page: 1247
  year: 2006
  end-page: 1251
  article-title: Feeding problems of infants and toddlers
  publication-title: Can Fam Physician
  contributor:
    fullname: Bernard-Bonnin
– ident: bibr11-2333794X19838536
  doi: 10.1136/adc.73.2.121
– ident: bibr12-2333794X19838536
  doi: 10.1111/j.1440-1754.2006.00812.x
– volume: 18
  start-page: 1507
  year: 2014
  ident: bibr22-2333794X19838536
  publication-title: Clin Oral Investig
  contributor:
    fullname: de Vries IA
– ident: bibr19-2333794X19838536
  doi: 10.1016/j.jpedsurg.2012.03.002
– ident: bibr31-2333794X19838536
  doi: 10.1097/MEG.0000000000000946
– ident: bibr4-2333794X19838536
  doi: 10.1097/NMC.0000000000000249
– ident: bibr15-2333794X19838536
  doi: 10.1542/peds.108.3.671
– ident: bibr2-2333794X19838536
  doi: 10.1542/pir.34-12-549
– ident: bibr7-2333794X19838536
  doi: 10.1097/00001163-199310000-00010
– ident: bibr34-2333794X19838536
  doi: 10.1046/j.1365-2982.2003.00463.x
– volume: 52
  start-page: 1247
  year: 2006
  ident: bibr3-2333794X19838536
  publication-title: Can Fam Physician
  contributor:
    fullname: Bernard-Bonnin AC.
– ident: bibr36-2333794X19838536
  doi: 10.1152/ajpgi.00082.2001
– ident: bibr20-2333794X19838536
  doi: 10.1002/ddrr.19
– ident: bibr17-2333794X19838536
  doi: 10.2478/v10039-011-0038-7
– ident: bibr38-2333794X19838536
  doi: 10.1097/MEG.0b013e32835eb916
– ident: bibr9-2333794X19838536
  doi: 10.1177/0009922809336074
– ident: bibr10-2333794X19838536
  doi: 10.1002/ajmg.a.38401
– volume: 33
  start-page: 99
  year: 2017
  ident: bibr26-2333794X19838536
  publication-title: Nutr Clin Pract
  doi: 10.1177/0884533617707493
  contributor:
    fullname: Hopkins J
– ident: bibr29-2333794X19838536
  doi: 10.1097/00005176-200307000-00014
– ident: bibr24-2333794X19838536
  doi: 10.3389/fped.2017.00127
– ident: bibr6-2333794X19838536
  doi: 10.1037/0893-3200.20.3.409
– ident: bibr8-2333794X19838536
  doi: 10.1542/peds.2014-1630
– ident: bibr14-2333794X19838536
  doi: 10.1007/s00431-011-1522-6
– ident: bibr28-2333794X19838536
  doi: 10.1016/j.jpeds.2016.10.002
– ident: bibr30-2333794X19838536
  doi: 10.1016/S1542-3565(05)00885-2
– ident: bibr35-2333794X19838536
  doi: 10.1590/1414-431X20132448
– ident: bibr16-2333794X19838536
  doi: 10.1177/0009922815593499
– ident: bibr21-2333794X19838536
  doi: 10.1007/s00455-004-0026-1
– ident: bibr25-2333794X19838536
  doi: 10.1007/s00784-016-1996-8
– ident: bibr13-2333794X19838536
  doi: 10.1097/ACI.0b013e328360949d
– ident: bibr18-2333794X19838536
  doi: 10.1007/s00535-012-0608-x
– volume: 43
  start-page: 98
  year: 2010
  ident: bibr1-2333794X19838536
  publication-title: Int J Eat Disord
  doi: 10.1002/eat.20795
  contributor:
    fullname: Bryant-Waugh R
– ident: bibr37-2333794X19838536
  doi: 10.1097/MEG.0000000000000979
– ident: bibr32-2333794X19838536
  doi: 10.1007/s00787-017-1039-2
– ident: bibr33-2333794X19838536
  doi: 10.1016/j.jpedsurg.2015.10.015
– ident: bibr23-2333794X19838536
  doi: 10.1097/MPG.0000000000001401
– ident: bibr5-2333794X19838536
  doi: 10.1007/s11920-012-0293-8
– ident: bibr27-2333794X19838536
  doi: 10.1016/S0929-693X(17)30058-1
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Snippet Feeding aversion in children may progress to severe feeding difficulties. While oral-motor and sensory issues are usually the leading causes, organic...
Feeding aversion in children may progress to severe feeding difficulties. While oral-motor and sensory issues are usually the leading causes, organic...
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Title Gastrointestinal Conditions in Children With Severe Feeding Difficulties
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