{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T18:26:56Z","timestamp":1780597616738,"version":"3.54.1"},"reference-count":30,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,12,27]],"date-time":"2024-12-27T00:00:00Z","timestamp":1735257600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Transplantation"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Following liver transplantation (LT), adequate nutrition is essential, as malnutrition may contribute to slower growth in pediatric patients and put patients at risk of complications following transplant. Avoidant Restrictive Food Intake Disorder (ARFID) is an eating disorder characterized by restrictive eating patterns that compromise nutrition. Patients with ARFID may have significant difficulty meeting nutritional needs due to fear of gastrointestinal distress, making it especially difficult to manage in patients following LT.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We performed a retrospective chart review of de\u2010identified patients who received LT at our institution. Two patients with ARFID who had undergone LT were identified. Their diagnoses, clinical courses, and post LT outcomes are reported. A literature review of the presentation and diagnosis of ARFID in pediatric patients and nutritional management of pediatric LT patients was performed. No IRB review was required given the sample size of two patients, per UCSF IRB rules and regulations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We present two unique cases of ARFID: one with onset prior to LT and one with onset following LT. Outpatient psychiatry treatment was essential for nutritional management for the patient who developed ARFID following LT. The other patient continues to see a dietitian given ongoing nausea that limits her oral intake but does not receive any psychiatric support.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>ARFID and selective eating patterns are rare but notable occurrences after pediatric LT, but they may also be underreported given the novelty of ARFID and the prevalence of gastrointestinal symptoms following transplant. Our case adds to the limited literature on ARFID in children following major surgical procedures and highlights the importance of interdisciplinary care and the importance of nutritional management in pediatric patients prior to and post LT.<\/jats:p><\/jats:sec>","DOI":"10.1111\/petr.70014","type":"journal-article","created":{"date-parts":[[2024,12,27]],"date-time":"2024-12-27T19:23:21Z","timestamp":1735327401000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Avoidant Restrictive Food Intake Disorder in Pediatric Liver Transplant Patients"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-5319-0023","authenticated-orcid":false,"given":"Peyton","family":"Crest","sequence":"first","affiliation":[{"name":"Department of Surgery University of California  San Francisco California USA"},{"name":"Department of Psychiatry &amp; Behavioral Sciences University of California  San Francisco California USA"},{"name":"Rhodes College  Memphis Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4454-8652","authenticated-orcid":false,"given":"Piper","family":"Stacey","sequence":"additional","affiliation":[{"name":"Department of Surgery University of California  San Francisco California USA"},{"name":"UMass Chan Medical School  Worchester Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5521-6381","authenticated-orcid":false,"given":"Erin C.","family":"Accurso","sequence":"additional","affiliation":[{"name":"Department of Psychiatry &amp; Behavioral Sciences University of California  San Francisco California USA"},{"name":"Philip R. Lee Institute for Health Policy Studies  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-7278-8961","authenticated-orcid":false,"given":"Clara","family":"Deley","sequence":"additional","affiliation":[{"name":"Clinical Nutrition University of California  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3303-9406","authenticated-orcid":false,"given":"John","family":"Roberts","sequence":"additional","affiliation":[{"name":"Department of Surgery University of California  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,12,27]]},"reference":[{"key":"e_1_2_8_2_1","first-page":"306","volume-title":"Post transplant and rehabilitation","author":"Kelly D. A.","year":"2000"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.6061\/clinics\/2012(12)07"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.5114\/ceh.2016.61665"},{"issue":"4","key":"e_1_2_8_5_1","first-page":"1558","article-title":"Prediction of Long\u2010Term Linear Growth Following Liver Transplantation","volume":"22","author":"Moukarzel A. A.","year":"1990","journal-title":"Transplantation Proceedings"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu9101126"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1089\u20103261(05)70146\u2010X"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2013.06.039"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cppeds.2017.02.005"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23049"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337\u2010018\u20100193\u20103"},{"key":"e_1_2_8_13_1","unstructured":"\u201cGrowth Charts\u2013Clinical Growth Charts \u201d2023 https:\/\/www.cdc.gov\/growthcharts\/cdc\u2010charts.htm."},{"key":"e_1_2_8_14_1","volume-title":"Nelson Textbook of Pediatrics","author":"Parks E. P.","year":"2020"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2021.100987"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/0148607115609311"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cld.2018.06.004"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v20.i31.10682"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/ar.a.20097"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bbadis.2010.01.006"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jopan.2020.07.006"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23047"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337\u2010024\u201001021\u2010z"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11920\u2010017\u20100795\u20105"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12882\u2010023\u201003195\u20101"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.2147\/NDT.S82538"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22996"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1093\/pch\/19.8.445"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.3390\/diagnostics11010111"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.4254\/wjh.v7.i11.1509"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1097\/LVT.0000000000000401"}],"container-title":["Pediatric Transplantation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/petr.70014","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,1,27]],"date-time":"2025-01-27T12:48:50Z","timestamp":1737982130000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/petr.70014"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12,27]]},"references-count":30,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,2]]}},"alternative-id":["10.1111\/petr.70014"],"URL":"https:\/\/doi.org\/10.1111\/petr.70014","archive":["Portico"],"relation":{},"ISSN":["1397-3142","1399-3046"],"issn-type":[{"value":"1397-3142","type":"print"},{"value":"1399-3046","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,12,27]]},"assertion":[{"value":"2024-07-31","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-12-16","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-12-27","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70014"}}