March 1983

A Diagnostic Approach to Vomiting in Severely Retarded Patients

Author Affiliations

From the Departments of Pediatrics (Drs Byrne, Ashcraft, and Euler and Ms Campbell) and Radiology (Dr Seibert), Arkansas Children's Hospital, Little Rock. Dr Byrne is now with the Division of Gastroenterology, Department of Pediatrics, University of Michigan Medical Center, Ann Arbor.

Am J Dis Child. 1983;137(3):259-262. doi:10.1001/archpedi.1983.02140290045012

• Vomiting is a considerable problem among severely retarded individuals. The majority have gastroesophageal reflux (GER). The incidence is increased in those who are nonambulatory or have scoliosis and/or spastic quadriplegia. In the absence of other symptoms, these persons should be kept in the upright position as much as possible. Persistent vomiting warrants a roentgenographic examination of the upper gastrointestinal tract. If GER is the only finding, upright positioning should be continued. The occurrence of complications attributable to GER is an indication for further diagnostic evaluation.

(Am J Dis Child 1983;137:259-262)