Moroco Annie E, Aaronson Nicole L
Department of Otolaryngology-Head & Neck Surgery, Thomas Jefferson University Sidney Kimmel School of Medicine, 111 South 11th Street, Philadelphia, PA 19107, USA.
Department of Otolaryngology-Head & Neck Surgery, Thomas Jefferson University Sidney Kimmel School of Medicine, 111 South 11th Street, Philadelphia, PA 19107, USA; Department of Surgery, Division of Pediatric Otolaryngology, Nemours Children's Hospital of Delaware, 1600 Rockland Road Wilmington, DE 19803, USA.
Pediatr Clin North Am. 2022 Apr;69(2):349-361. doi: 10.1016/j.pcl.2021.12.005.
Feeding difficulty is common in the pediatric population, particularly in at-risk infants, such as those born prematurely. Appropriate work-up should involve a multidisciplinary team and may commonly use modified barium swallow and flexible endoscopic evaluation of swallow, in addition to history and physical examination. Structural causes of dysphagia may involve surgical management, whereas nonstructural causes may invoke medical therapies. If symptoms do not resolve following intervention, it is important to revisit the interdisciplinary team, because dysphagia is commonly multifactorial in origin. Appropriate identification and early intervention are necessary for successful outcomes in growth and development for children.
喂养困难在儿科人群中很常见，尤其是在高危婴儿中，比如那些早产儿。恰当的检查应由多学科团队进行，除了病史和体格检查外，通常还会使用改良钡餐吞咽造影和吞咽功能的软性内镜评估。吞咽困难的结构性病因可能需要手术治疗，而非结构性病因则可能采用药物治疗。如果干预后症状没有缓解，重新联系跨学科团队很重要，因为吞咽困难通常是多因素导致的。对于儿童生长发育取得成功的结果而言，进行恰当的识别和早期干预是必要的。
