Oral Feeding Difficulties in Children With Short Bowel Syndrome: A Narrative Review

Hopkins, Judy; Cermak, Sharon A.; Merritt, Russell

doi:10.1177/0884533617707493

Cited by 23 publications

(23 citation statements)

References 68 publications

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“…35,36 Eating difficulties have been associated with aversive experiences such as reflux and vomiting in those with allergies 37 and eosinophilic disease 38 and with the frequency or severity of aversive experiences. 39 Eating behaviors may change as children age, 40 with food neophobia most commonly seen between 2 and 6 years 41 of age, and caregivers have previously been described as influential on eating, 13 with control over food choices gradually shifting from parents to children with time. 24,25 However, this study also provides unexpected insights from nutrition data, the CEBQ, and caregivers' perspectives, as well as the means to draw those together.…”

Section: Discussionmentioning

confidence: 99%

Factors Impacting on Eating in Pediatric Intestinal‐Transplant Recipients: A Mixed‐Methods Study

2019

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Background: No empirical data are found examining why eating may be difficult for some children following intestinal transplant and not others. This study aimed to describe the eating behaviours and nutritional intake of intestinal transplant recipient children and examine factors that may impact on their eating. Methods: Caregivers of all (n=34) intestinal transplant recipients <18 years in the United Kingdom were invited to participate in this mixed methods study comprising a quantitative component (questionnaires, food diary) and qualitative interview. Questionnaires included the Children's Eating Behaviour Questionnaire and demographic/nutrition-related items and a three-day food diary. Analysis was by descriptive statistics using SPSS. Semi-structured telephone interviews explored caregiver perceptions of their child's eating. Analysis was thematic. Results: Nine caregivers were recruited and completed the questionnaire and food diary. Eight of these were interviewed. Home tube feeding was required by 77% (n=7) of children post-transplant, 56% (n=5) were 'food avoidant' and median energy intake was 93% (range, 61-137%) of requirements. The findings revealed complex, interrelated positive and negative medical, caregiver and child-related influences on eating. Learning to eat at the recommended age and having positive and significant pre-transplant eating experiences appeared protective, whilst being nil-by-mouth and having aversive experiences were barriers. Conclusion: This study provides the first empirical evidence of factors that may impact on eating after intestinal transplant in children. The findings suggest promoting eating pre-transplant, where the negative physical consequences can be managed, may be protective and there may be eating difficulty predictors that could be used to facilitate targeted interventions.

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Section: Discussionmentioning

confidence: 99%

Factors Impacting on Eating in Pediatric Intestinal‐Transplant Recipients: A Mixed‐Methods Study

2019

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“…[46][47][48] Developing oral skills should be a high priority in young children and is best achieved by involving speech and feeding therapists in the multidisciplinary approach to care. 49,50…”

Section: Establishing Enteral Nutritionmentioning

confidence: 99%

Enteral Nutrition in Pediatric Short‐Bowel Syndrome

et al. 2020

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Pediatric intestinal failure (IF) is the critical reduction of intestinal mass or function below the amount necessary for normal growth in children. Short‐bowel syndrome (SBS) is the most common cause of IF in infants and children and is caused by intestinal resection. Enteral autonomy and freedom from parenteral nutrition is the mainstay of nutrition management in SBS. The goal is to achieve intestinal adaptation while maintaining proper growth and development. Treatment is variable, and there remains a paucity of evidence to draw well‐informed conclusions for the care of individuals in this complex population. Physiological principles of enteral nutrition and practical recommendations for advancing the diet of patients with pediatric SBS are presented. Emerging trends in nutrition management, such as the growing interest in blending diets and the impact on SBS, are reviewed. Finally, the influence of the microbiome on enteral tolerance and small bowel bacterial overgrowth are considered.

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“…Successful bowel adaptation may lead to restoration of enteral autonomy. Intestinal adaptation is improved with early oral and enteral feeding [18]. Oral feeding stimulates salivary glands which activate the secretion of an epidermal growth factor (EGF) and other trophic factors.…”

Section: Oral Aversion and Dysphagiamentioning

confidence: 99%

Gastroesophageal Reflux Disease and Foregut Dysmotility in Children with Intestinal Failure

Rybak

Sethuraman

Nikaki³

et al. 2020

Nutrients

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Gastrointestinal dysmotility is a common problem in a subgroup of children with intestinal failure (IF), including short bowel syndrome (SBS) and pediatric intestinal pseudo-obstruction (PIPO). It contributes significantly to the increased morbidity and decreased quality of life in this patient population. Impaired gastrointestinal (GI) motility in IF arises from either loss of GI function due to the primary disorder (e.g., neuropathic or myopathic disorder in the PIPO syndrome) and/or a critical reduction in gut mass. Abnormalities of the anatomy, enteric hormone secretion and neural supply in IF can result in rapid transit, ineffective antegrade peristalsis, delayed gastric emptying or gastroesophageal reflux. Understanding the underlying pathophysiologic mechanism(s) of the enteric dysmotility in IF helps us to plan an appropriate diagnostic workup and apply individually tailored nutritional and pharmacological management, which might ultimately lead to an overall improvement in the quality of life and increase in enteral tolerance. In this review, we have focused on the pathogenesis of GI dysmotility in children with IF, as well as the management and treatment options.

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Oral Feeding Difficulties in Children With Short Bowel Syndrome: A Narrative Review

Cited by 23 publications

References 68 publications

Factors Impacting on Eating in Pediatric Intestinal‐Transplant Recipients: A Mixed‐Methods Study

Factors Impacting on Eating in Pediatric Intestinal‐Transplant Recipients: A Mixed‐Methods Study

Enteral Nutrition in Pediatric Short‐Bowel Syndrome

Gastroesophageal Reflux Disease and Foregut Dysmotility in Children with Intestinal Failure

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