Resumo

MIRANDA-SANCHEZ, Sergio. Anorexia nervosa: nutritional treatment in pediatrics. Bol. Med. Hosp. Infant. Mex. [online]. 2010, vol.67, n.1, pp.4-18. ISSN 1665-1146.

Prevalence and incidence of anorexia nervosa are both increasing. A younger age of onset is currently being observed, making this disease an important issue for general practice in pediatrics. Treatment must include a multidisciplinary team. Family participation in rehabilitation is currently encouraged. Detection of hospitalization criteria is the first task to accomplish during clinical evaluation. Once treatment is established, occurrence of refeeding syndrome consisting of lifethreatening disorders of water and electrolyte metabolism (cardiac arrhythmias) must be ruled out. Oral route is the first choice for refeeding. Continuous tube feeding, when required, may be diurnal and/or nocturnal. Gastrointestinal disorders associated with anorexia nervosa may require drug therapy. Diagnosis and hospitalization criteria are discussed in this review as well as medical and dietary treatment options in hospitalized and ambulatory settings.

Palavras-chave : anorexia nervosa; refeeding syndrome; continuous tube feeding; electrolyte metabolism.

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