Eat Happy!

Eat Happy!

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Monday, May 12, 2014

“Alleviation of Retching and Feeding Intolerance After Fundoplication” ARTICLE

I have something huge to share with all of you! I have spent a long time talking about the reasons, causes, treatments for retching and post-fundo troubles. Ian has visited the Surgical Reflux Clinic at The Children’s Hospital of Philadelphia for a couple years now. While he is now managed by the Motility clinic there, the doctors at the reflux clinic are still a valuable part of his team.

The Children's Hospital of Philadelphia


Ian’s doctors have just published an incredible article which is almost like reading Ian’s medical history! The article is “Alleviation of Retching and Feeding Intolerance After Fundoplication.”





The article covers:
  • Surgical treatments for reflux
  • Symptoms of retching, failure to thrive, diarrhea, bloat, post-prandial hypoglycemia, and other intolerances due to fundoplications
  • Causes of retching such as osmolarity of food, boluses, overfeeding, fluid, venting, infection, dumping syndrome, medications, hypersensitivity/allergy, whey vs casein, surgeries, etc.
  • Respecting the new limits of the stomach and how fundo changes accommodating and compliance
  • Treatment options for each cause and each symptom

The abstract is available for free on PubMed

The abstract is available for free on Nutrition of Clinical Practice on SAGE journal's site


Most hospitals have subscriptions for these journals/sites and have access to the articles. However; I would *HIGHLY* recommend any parent with a retcher, or post fundo-troubled child invest in the $15.00 article for a download:

You can purchase the download from SAGE for $15.00 here

I feel strongly that this article can create a new wave of knowledge and treatments across the country to help children struggling with post-surgical feeding intolerance and retching. Please read this article and share it with your doctors, nurses, and therapists. I can only hope that others can benefit from these theories the same way Ian has. They are amazing clinicians with astonishing theories and success. We are so happy to have them on Ian’s team!!!

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They have also published another article (in 2009) called "The Case of the Wretched Retcher."  The article was published in ICAN: Infant, Child, and Adolescent Nutrition.