Nutritional considerations in pediatric oncology

Standards of nutritional care in pediatric oncology: Results from a nationwide survey on the standards of practice in pediatric oncology. a Children's Oncology Group study

“…The perception that enteral feeds are associated with increased complications, increased risk of infections and are contraindicated in patients receiving dose‐intensive therapy has not been validated in clinical trials. Enteral feeds have been associated with decreased risk of infections and liver abnormalities and maintenance of the gut mucosa 30–32. Enteral feeds also have the additional benefit of offering an alternative route for administration of medications 5,9,33.…”

Integrative Nutrition and Nutrition/Herbal Supplements

“…A thorough discussion of each of these indices has been published elsewhere (Mosby et al 2009 (Bakish et al 2003 ;den Broeder et al 1998 ;Deswarte-Wallace et al 2001 ;Mathew et al 1996 ) . Advantages for using enteral feeding for nutritional support include lower costs, decreased risk of infections and liver abnormalities, and maintenance of the gut mucosa Han-Markey 2000 ;Mathew et al 1996 ) . Moreover, enteral tube feeding may reduce both parent and patient anxiety related to achieving daily calorie and micronutrient recommended intakes (den Broeder et al 1998 ;DeswarteWallace et al 2001 ;Mauer et al 1990 ) .…”

Percutaneous Endoscopic Gastrostomy in Pediatric Patients

“…Children with cancer are particularly vulnerable to malnutrition, because they exhibit elevated nutritional needs due to the disease and its treatment. At the same time, children have increased requirements of nutrients to attain appropriate growth and neurodevelopment (Han-Markey, 2000). It has been demonstrated that adequate nutrition is an important determinant for several clinical outcome measures such as treatment response, quality of life, and cost of care (van Eys, 1979, Rickard et al, 1986.…”