Enteral Nutrition in Pediatric Patients

Yi, Dae Yong

doi:10.5223/pghn.2018.21.1.12

Cited by 37 publications

(31 citation statements)

References 45 publications

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“…study of children admitted to the PICU, cardiovascular and neurologic conditions were more common in patients with AKI than in demographically similar controls. 38 Children with these conditions may have poor nutritional status, 39,40 increasing their risk for AKI during diarrheal illness. AKI in congenital heart disease is common in the perioperative setting, and risk factors include periprocedural hemodynamic instability and nephrotoxic medications.…”

Section: Discussionmentioning

confidence: 99%

Acute Kidney Injury in Children Hospitalized With Diarrheal Illness in the United States

Bradshaw¹,

Han²,

Chertow

et al. 2019

Hospital Pediatrics

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To determine the incidence, correlates, and consequences of acute kidney injury (AKI) among children hospitalized with diarrheal illness in the United States. METHODS: Using data from Kids' Inpatient Database in 2009 and 2012, we studied children hospitalized with a primary diagnosis of diarrheal illness (weighted N 5 113 195). We used the International Classification of Diseases, Ninth Revision, Clinical Modification, diagnosis codes 584.5 to 584.9 to capture AKI. We calculated the incidence, correlates, and consequences (mortality, length of stay [LOS], and costs) of AKI associated with hospitalized diarrheal illness using stepwise logistic regression and generalized linear models. RESULTS: The average incidence of AKI in children hospitalized with diarrheal illness was 0.8%. Hospital location and teaching status were associated with the odds of AKI, as were older age, solid organ transplant, hypertension, chronic kidney disease, and rheumatologic and hematologic conditions. The development of AKI in hospitalized diarrheal illness was associated with an eightfold increase in the odds of in-hospital mortality (odds ratio 8.0; 95% confidence interval [CI] 4.2-15.4). AKI was associated with prolonged LOS (mean increase 3.0 days; 95% CI 2.3-3.8

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Section: Discussionmentioning

confidence: 99%

Acute Kidney Injury in Children Hospitalized With Diarrheal Illness in the United States

Bradshaw¹,

Han²,

Chertow

et al. 2019

Hospital Pediatrics

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“…These include cramping, bloating, and intestinal discomfort. 5,11 Besides, evidence also indicates that nausea and vomiting might be associated with the presence of certain physiological factors, constipation, slow gastric emptying, and excessive perfusion rate. On the other hand, aspiration and regurgitation of food can be associated with intolerance of bolus feeds and dislodged tubes.…”

Section: Discussionmentioning

confidence: 99%

“…Otherwise, alternative management plans should be provided to adequately manage the potentially present adverse events. 4,5 In the present literature review, we aim to investigate the indications and long-term outcomes of enteral feeding in pediatric settings.…”

mentioning

confidence: 99%

Indications and long-term results of enteral feeding in infancy and childhood

Alsafadi¹,

Alzahrani

Alhayek³

et al. 2021

Int J Community Med Public Health

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Enteral feeding is more favorable than parenteral one because it can significantly intervene against the colonization of bacteria and preserve gut functions. However, this necessitates the presence of a good-functioning gastrointestinal tract. Young infants, critically ill children, and patients with neurological disabilities are the most probable candidates to perform enteral feeding. In the present literature review, we have discussed the indications and long-term results of enteral feeding in pediatric settings. Our results show that modality is a safe and efficacious modality in these settings with favorable outcomes and fewer adverse events and complications. Many indications were reported for the modality, and in general, children that usually suffer from severe weight deficit, weight faltering, and growth retardation are indicated to receive enteral nutrition. Some contraindications were also reported in the literature, and in general, conditions affecting the function and health status gastrointestinal tract should recommend against conducting approaches of enteral feeding. Different complications were reported, including mechanical, metabolic, infectious, gastrointestinal, and drug-related complications that might lead to worsened prognosis and can significantly impact the long-term outcomes of these patients. Therefore, paying adequate attention should be considered in these cases to prevent the development of these complications, and provide all the necessary procedures to potentially manage the expected adverse events.

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“…28,29 Enteral feeding plays an important role in intestinal adaptation and growth. In fact, enteral feeding reduces biliary cholestasis, 30 encourages intestinal adaptation through the stimulatory effects on epithelial cells and the production of trophic hormones, 31,32 and reduces bacterial overgrowth and potential translocation with sepsis. 33 MPT is designed to overcome FA and to encourage an oral diet.…”

Section: Discussionmentioning

confidence: 99%

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

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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.

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Enteral Nutrition in Pediatric Patients

Cited by 37 publications

References 45 publications

Acute Kidney Injury in Children Hospitalized With Diarrheal Illness in the United States

Acute Kidney Injury in Children Hospitalized With Diarrheal Illness in the United States

Indications and long-term results of enteral feeding in infancy and childhood

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

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