Long‐Term Home Jejunostomy Feeding of Young Children

Björnestam, B; Bengtsson, Carola; Bergdahl, Sven; Finkel, Yigael

doi:10.1177/088453369901400506

Cited by 3 publications

(2 citation statements)

References 6 publications

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“…We have not used a structured decision tree in the past. We have not asked the parents about the clinical effect or complications, but this has been reported in a qualitative study performed by our unit 26 . Despite the encouraging results in the present study, our impression is that some of the children with NI would have been better off with other types of surgical procedures as a result of more structured operative criteria.…”

Section: Discussionmentioning

confidence: 68%

Jejunostomy Enteral Feeding in Children

Egnell

Eksborg

Grahnquist

2013

J Parenter Enteral Nutr

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Section: Discussionmentioning

confidence: 68%

Jejunostomy Enteral Feeding in Children

Egnell

Eksborg

Grahnquist

2013

J Parenter Enteral Nutr

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“…Twenty-four studies were retrieved for detailed evaluation. Table 1, Supplemental Digital Content (http://links.lww.com/MPG/C641) lists subsequently excluded studies after detailed evaluation (17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30) and reasons for exclusion. Ultimately, 10 eligible studies (11,12,16,(31)(32)(33)(34)(35)(36)(37) were included for the final systematic review.…”

Section: Resultsmentioning

confidence: 99%

Is Roux‐en‐Y Feeding Jejunostomy a Safe and Effective Operation in Children? A Systematic Review Exploring Outcomes

Cullis

Buckle²,

Losty³

2021

J. pediatr. gastroenterol. nutr.

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Objectives: Roux-en-Y jejunostomy (REYJ) may establish feeding in children with foregut dysmotility or severe gastro-esophageal reflux disease (GERD). Nevertheless, concerns have been raised about safety and efficacy. We, therefore, evaluated outcomes of REYJ by systematic review to determine if this was a satisfactory option for achieving enteral autonomy in children with complex nutritional needs. Methods: A PRISMA-adherent systematic review was conducted of studies reporting children undergoing feeding REYJ. Two authors performed processes independently; the senior author resolved disagreements. Embase, CINAHL and Medline were searched (inception-01/21). Additional databases, references, and 'grey' literature were searched. Methodological Index for Non-randomized Studies (MINORS) and a bespoke system assessed methodological quality. Results: Of 362 articles, 10 met eligibility criteria (9 retrospective series; 1 conference proceeding). Unpublished data were also attained. Interobserver agreement for MINORS (kappa ¼ 0.47) and bespoke scoring (kappa ¼ 0.58) were moderate. After consensus, median MINORS score was 37.5% (IQR 6.3%) and bespoke 50% (IQR 20.8%), indicating poor methodological quality. One hundred sixty-four patients were reported (age range: 2 months to 19 years). Time to full feeds and length of stay were inadequately reported but most achieved enteral autonomy. No studies reported patient/caregiver-questionnaires. Seventy-six complications were documented (Clavien-Dindo grading was infeasible). Morbidity included peristomal leakage (N ¼ 26), internal hernia/volvulus (N ¼ 8), and SSI (N ¼ 7). Thirty-eight patients died (2 procedure-attributable) during follow-up (range: 1 month to 15 years). Conclusions: Up to 50% patients experience complications after REYJ (often minor) with 23% patients dying during follow-up, often comorbidityattributable. REYJ can achieve enteral autonomy although parents/ caregivers of children should be counselled accordingly.

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Drugs Related to Oropharyngeal Dysphagia in Older People

et al. 2016

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Scientific evidence on the impact of medication on the physiology of swallowing is scarce and mainly based on clinical case reports. To evaluate the association between oropharyngeal dysphagia (OD) and chronic exposure to medication in older patients admitted to the acute geriatric unit (AGU) of a secondary hospital, we performed a retrospective cross-sectional study of 966 patients admitted to an AGU from 2008 to 2011. We reviewed (a) diagnosis of OD (assessed with the volume-viscosity swallow test, V- VST); (b) chronic patient medication classified by anatomical, therapeutic, chemical codes; and (c) demographic and clinical data. A univariate analysis was performed to determine which medications were associated with OD. A multivariate analysis adjusting for confounding clinical factors was performed to identify which of those medications were independently associated with OD. The age of patients included was 85.3 ± 6.37 years and 59.4 % were women. A total of 41.9 % presented OD. We found a possible protective effect of beta blocking agents on OD after the multivariate analysis (OR 0.54, 95 % CI 0.35-0.85). None of the categories of drugs was associated with an altered swallowing function after adjusting for confounding variables. The present study is the first one to widely investigate the association between drugs and OD, increasing understanding of their association. The role of beta blockers in OD needs to be further studied as their potentially beneficial effects on the swallowing function in older patients could help to prevent complications.

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Long‐Term Home Jejunostomy Feeding of Young Children

Cited by 3 publications

References 6 publications

Jejunostomy Enteral Feeding in Children

Jejunostomy Enteral Feeding in Children

Is Roux‐en‐Y Feeding Jejunostomy a Safe and Effective Operation in Children? A Systematic Review Exploring Outcomes

Drugs Related to Oropharyngeal Dysphagia in Older People

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