Severe pediatric rumination syndrome: Successful interdisciplinary inpatient management

Alex D. Green, Anthony Alioto, Hayat Mousa, Carlo Di Lorenzo

Research output: Contribution to journalArticlepeer-review

39 Scopus citations


BACKGROUND: Rumination syndrome is a condition that occurs when people constantly regurgitate and expel or reswallow food soon after they eat. The most severe cases of rumination syndrome can be debilitating, requiring total parenteral nutrition or enteral tube feedings. We report our experience with the treatment of children with severe rumination syndrome. PATIENTS AND METHODS: Five patients with severe rumination syndrome received a novel inpatient interdisciplinary approach, which involved pediatric psychology, pediatric gastroenterology, clinical nutrition, child life, therapeutic recreation, and massage therapy. RESULTS: Inpatient hospitalization lasted between 9 and 13 days. The treatment was successful in all 5 of the patients. They left with complete caloric intake orally. CONCLUSIONS: This treatment protocol could benefit pediatric gastroenterologists, pediatricians, and child psychologists in managing both standard and severe cases of rumination syndrome.

Original languageEnglish (US)
Pages (from-to)414-418
Number of pages5
JournalJournal of pediatric gastroenterology and nutrition
Issue number4
StatePublished - Apr 2011


  • abdominal pain
  • adolescents
  • diaphragmatic breathing
  • rumination syndrome
  • vomiting

ASJC Scopus subject areas

  • Gastroenterology
  • Pediatrics, Perinatology, and Child Health


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