Discontinuation of Tube Feeding in Young Children by Hunger Provocation

Kindermann, Angelika; Kneepkens, C. M. F.; Stok, Anita; Dijk, E.M. van; Engels, Michelle; Douwes, A. C.

doi:10.1097/mpg.0b013e3181615ccb

Cited by 61 publications

(89 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…En el hospital Josefina Martínez se incorpora también la valoración broncopulmonar, neurológica, nutricional, kinesiológica y psico-social para definir la conducta. Este modelo interdisciplinario está recomendado en la literatura (13,14,30) y considera además las habilidades cognitivas y de lenguaje, evaluación por psicólogo y gastroenterólogo (22,31).…”

Section: Rehabilitación De La Alimentación Por Vía Oral En Niños Con unclassified

“…Los pacientes presentan menor motivación para comer en respuesta al hambre, aversión y/o deficiente respuesta a la estimulación oral. Si un niño no acepta alimentos por vía oral, es incapaz de asociar la comida a la satisfacción del hambre (13). Se han descrito múltiples esquemas terapéuticos para rehabilitar la vía oral, muchos de los cuales son programas intensivos multidisciplinarios ambulatorios (7,(13)(14)(15)(16).…”

Section: Introductionunclassified

“…Si un niño no acepta alimentos por vía oral, es incapaz de asociar la comida a la satisfacción del hambre (13). Se han descrito múltiples esquemas terapéuticos para rehabilitar la vía oral, muchos de los cuales son programas intensivos multidisciplinarios ambulatorios (7,(13)(14)(15)(16). Algunos proponen intervenciones conductuales (17)(18)(19) y además de intervenciones multidisciplinarias, nuevos estudios sugieren incorporar antidepresivos, anticonvulsivantes u orexígenos, con respuesta parcial y evidencia escasa (20).…”

Section: Introductionunclassified

See 2 more Smart Citations

Rehabilitación de la alimentación por vía oral en niños con enfermedades respiratorias crónicas y nutrición enteral prolongada

Angulo

Bustos²,

Sánchez³

et al. 2016

Nutr Hosp

View full text Add to dashboard Cite

Introduction: The rehabilitation of the oral feeding (ROF) is complex in patients who have received prolonged enteral nutrition (EN). Objective: To describe this process in children with chronic respiratory diseases and nasoenteral tube (NET) or gastrostomy (GT). Patients and methods: Retrospective review of clinical records from children with EN at least for two months, admitted between 2005 and 2014 at the Josefi na Martínez Hospital. Results: 116 patients were included, with median age 10 months (range: 3 to 101), 56% male. Diagnosis: 34.5% Post-infectious chronic lung disease, 29,3% respiratory failure secondary to neuromuscular diseases, 19% bronchopulmonary dysplasia and 17,2% airway diseases, 82.8% of them had tracheostomy. Access: 89.7% gastrostomy and 10.3% NET, installed at median age of 6 months (0 a 74), due to low intake (11.3%) or swallow disorders (88.7%). From the total group, 36.2% (42/116) had ROF indication, whose EN length was 12.2 months (2 to 41). Fifty% (21/42) of them achieved total oral feeding (91% SNE and 35.4% GT, Chi2 p = 0.023), 14% partially and 36% failed. The time to achieve total oral feeding was 9.75 months (0.5 to 47), with no difference by age, sex, feeding route, EN duration or presence of neurological disease. Conclusion: In patients with chronic respiratory diseases and long-term enteral nutrition, ROF is possible but slow: 64% achieved it total or partially.

show abstract

Section: Rehabilitación De La Alimentación Por Vía Oral En Niños Con unclassified

Section: Introductionunclassified

See 1 more Smart Citation

Rehabilitación de la alimentación por vía oral en niños con enfermedades respiratorias crónicas y nutrición enteral prolongada

Angulo

Bustos²,

Sánchez³

et al. 2016

Nutr Hosp

View full text Add to dashboard Cite

show abstract

“…Gastrostomy feeding has been found to improve weight and mid-arm circumference (Cook et al, 2005;Sullivan et al, 2005;Craig et al, 2006;Ramelli et al, 2007), reduce feeding time (Cook et al, 2005;Sullivan et al, 2005), improve the quality of life of caregivers and children (Sullivan et al, 2004;Cook et al, 2005;Kindermann et al, 2008;Mahant et al, 2009), and result in other health gains (Sullivan et al, 2005). The prospect of gastrostomy feeding, however, is seen as a major intervention by parents and therefore detailed preparation and discussion are needed.…”

Section: Routes Of Deliverymentioning

confidence: 99%

“…This plan may involve feeding regulation by allowing hunger-satiety cues to develop so that tube feeds can gradually be decreased. In certain cases, especially when there has been prolonged dependency on naso-gastric tube feeding, the process of hunger provocation has been shown to be an effective tool for use in weaning children from tube feeds (Kindermann et al, 2008). Education of the main caregiver (usually the mother) is essential and they must be shown how to promote an optimal feeding environment.…”

Section: Weaning a Child From Gastrostomy Tube Feedingmentioning

confidence: 99%

Gastrostomy tube feeding: when to start, what to feed and how to stop

Gottrand

Sullivan

2010

Eur J Clin Nutr

View full text Add to dashboard Cite

Messy Play Therapy in the Treatment of Food Aversion in a Patient With Intestinal Failure: Our Experience

Chiatto

Coletta

Aversano

et al. 2018

J Parenter Enteral Nutr

View full text Add to dashboard Cite

Background Food aversion (FA) is an eating behavior where children refuse solid or fluid intake. FA can compromise the weaning off parenteral nutrition (PN) in children with intestinal failure (IF), reducing their quality of life (QoL). Around 25% of children with IF experience FA, but few data are available on interventions to get over FA. Messy play therapy (MPT) uses sensory activities to provide another meaningful avenue for learning in children by creating a fun way to experience new textures. This study aims to assess the efficacy of MPT in FA. Methods Demographic data and MPT intervention were retrospectively recorded between 2004 and 2017. Food was categorized by tastes and textures. Data are expressed as median and interquartile range (25%–75%). Results Twelve children were identified. MPT was started at 9 (6–16) months with an enrolling time within the program of 10.11 (7.75–12.5) months. MPT was ended after 19.5 (16.75–28.5) months, and all patients achieved tolerance to oral diet. Significant improvement in savory (P = .001), sweet (P = .002), and mixed texture (P = .001) of food intake was reported. Better QoL and mealtimes with family were reported at median follow‐up of 39 (24–56) months. Conclusions MPT seems to be a positive intervention to overcome FA. In our experience, the children have gone from not tolerating any intake to tolerating an oral diet, which means enjoying their mealtimes. Further studies are needed to evaluate the effectiveness of MPT in a larger scale of patients.

show abstract

Discontinuation of Tube Feeding in Young Children by Hunger Provocation

Abstract: The multidisciplinary hunger provocation program seems to be a promising method to promote discontinuation of tube feeding in young children.

Cited by 61 publications

References 17 publications

Rehabilitación de la alimentación por vía oral en niños con enfermedades respiratorias crónicas y nutrición enteral prolongada

Rehabilitación de la alimentación por vía oral en niños con enfermedades respiratorias crónicas y nutrición enteral prolongada

Gastrostomy tube feeding: when to start, what to feed and how to stop

Messy Play Therapy in the Treatment of Food Aversion in a Patient With Intestinal Failure: Our Experience

Contact Info

Product

Resources

About