Rodrigo Minna, Chumpitazi Bruno P, Chiappini Erika A, Brown Melanie L, Wicker Velez Sofia, Kutty Shaija
Division of Pediatric Gastroenterology, Hepatology, and Nutrition, University of Maryland School of Medicine, Baltimore, MD, USA.
Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Duke University School of Medicine, Durham, NC, USA.
Clin Pediatr (Phila). 2025 Sep;64(8):1066-1073. doi: 10.1177/00099228251316367. Epub 2025 Feb 7.
Abdominal pain-related disorders of gut-brain interaction (DGBIs) are common and challenging conditions affecting many children and adolescents. Multidisciplinary programs represent one promising approach to these complex disorders. However, the composition of these programs and the therapies offered is unknown. We sought to better understand characteristics of these multidisciplinary programs. A survey was taken of pediatric gastroenterologists in the United States who practice in multidisciplinary DGBI programs to determine the characteristics of currently available programs. Fourteen pediatric gastroenterologists reported caring for children with DGBI in multidisciplinary programs distributed across all regions of the United States. The number of disciplines varied from 2 to 5, with the most common aside from pediatric gastroenterologists being dietitians (in 79% of programs) and behavioral psychologists (57%). The least common included physical therapists (14%). The number of therapies offered varied from 2 to 10 and included pharmacologic therapy (100%), dietary therapy (93%), and psychotherapy (86%), among others. The number of patients seen per clinic session varied (range: <3 to 6) across programs, and 6 programs (43%) assessed outcomes using validated questionnaires. Future studies may evaluate patient outcomes to identify an ideal pediatric DGBI multidisciplinary approach (eg, program composition and therapies offered).
与腹痛相关的肠-脑互动障碍（DGBIs）很常见，给许多儿童和青少年带来了挑战。多学科项目是应对这些复杂疾病的一种有前景的方法。然而，这些项目的组成和提供的治疗方法尚不清楚。我们试图更好地了解这些多学科项目的特点。对美国从事多学科DGBI项目的儿科胃肠病学家进行了一项调查，以确定现有项目的特点。14名儿科胃肠病学家报告称，他们在分布于美国所有地区的多学科项目中为患有DGBI的儿童提供治疗。学科数量从2个到5个不等，除儿科胃肠病学家外，最常见的是营养师（79%的项目中有）和行为心理学家（57%）。最不常见的包括物理治疗师（14%）。提供的治疗方法数量从2种到10种不等，包括药物治疗（100%）、饮食治疗（93%）和心理治疗（86%）等。各项目每次门诊就诊的患者数量各不相同（范围：<3至6），6个项目（43%）使用经过验证的问卷评估结果。未来的研究可能会评估患者的治疗效果，以确定理想的儿科DGBI多学科方法（如项目组成和提供的治疗方法）。
