Extreme dietary selectivity following liver transplantation in a 5-year-old girl; management via behavior therapy
De Moor, J.M.; Brons, E.; Kokke, F.T.; Vos, H.; Tolboom, J.J.
Nederlands Tijdschrift Voor Geneeskunde 148(16): 791-794
2004
ISSN/ISBN: 0028-2162 PMID: 15129569 Document Number: 575518
In a 5.1-year-old girl who had been treated by surgical correction of biliary atresia and total orthotopic liver transplantation, extreme dietary selectivity was noted; this was treated by behaviour therapy. On entry in the rehabilitation centre, she manifested malnutrition along with a variety of gastro-enterologic complaints. The treatment consisted of a set of behavioural procedures such as stepwise expansion of the diet, verbal prompting, intermittent contingent attention and a list of agreements with a system of rewards; this led to the elimination of the dietary selectivity and to the consumption of a varied diet in a normal tempo.