Parental feeding concerns of infants and young children with oesophageal atresia

Menzies, Jessica; Hughes, Jennifer

doi:10.1111/jpc.14840

Cited by 4 publications

(4 citation statements)

References 20 publications

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“…Currently, the MCH-FS was primarily used to assess feeding difficulty in children with risk factors, such as premature ( 3 ), esophageal atresia (EA) ( 6 , 22 , 23 ), agenesis of the corpus callosum (ACC) ( 24 ), congenital heart disease ( 25 ), asthma ( 26 ), Down's syndrome ( 27 ), and autism spectrum disorder (ASD) ( 28 ), but less is known about the association between MCH-FS and health and development in the normal population. However, the discrimination score for identifying feeding problems set by Ramsay et al was obtained by the normative sample recruited from the community pediatricians' offices ( 4 ).…”

Section: Introductionmentioning

confidence: 99%

Feeding Difficulty Among Chinese Toddlers Aged 1–3 Years and Its Association With Health and Development

et al. 2021

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Feeding problems are biopsychosocial in nature and have a great influence on children's growth. The aim of this study was to profile the status and possible influencing factors of feeding difficulty among normal Chinese toddlers, and to investigate its association with health and development. This study is a part of the Young Investigation (YI study) conducted in 10 cities in China. Data from 924 children aged 1–3 years were analyzed. Data on socio-demographic factors, feeding behaviors, self-reported diseases, and anthropometry parameters were collected. Blood samples were drawn to determine hemoglobin levels. Feeding difficulty was evaluated by the Montreal Children's Hospital Feeding Scale (MCH-FS). Ages and Stages Questionnaires, Third Edition (ASQ-3) were used to assess developmental progress. Multivariable analyses were performed to explore the potential associations. The mean total score of the MCH-FS was 35.21 ± 12.90 and the highest scored item was “acting up/making a big fuss during mealtimes.” Feeding difficulty occurred more often among children with picky eating behavior or whose caregivers once used the strategy of pre-mastication. Children with feeding difficulty had lower intakes of cereals, vegetables, and fruits, and were more likely to suffer from diarrhea (OR, 2.04; 95%CI: 1.32, 3.11) or constipation (OR, 2.04; 95%CI: 1.27, 3.24), but not anemia. Feeding difficulty was also negatively associated with weight, height, head circumference and mid-upper-arm circumference-related Z-scores (P all < 0.05). In addition, it was related to poorer fine motor skills, personal and social skills, and total scores of ASQ-3 (β, −9.00; 95%CI: −15.11, −2.89). Feeding difficulty assessed by MCH-FS showed a negative association with children's health and development, supporting the need for early identification.

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Section: Introductionmentioning

confidence: 99%

Feeding Difficulty Among Chinese Toddlers Aged 1–3 Years and Its Association With Health and Development

et al. 2021

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“…Interestingly, on the contrary, dysphagia and related symptoms such as coughing were low in this cohort, as the swallowing-specific domain symptoms of dysphagia had less impact on the final pedSWAL-QOL score. This might be related to a high proportion of OA gross type C, as more oropharyngeal motor problems are commonly seen in patients with non-type C OA, and hence, our results might be skewed towards less severe impaired eating skills[ 12 , 20 ].…”

Section: Discussionmentioning

confidence: 99%

“…They may also affect the manifestation and clinical presentation [ 17 , 21 , 22 ] of these difficulties. Unfortunately, several definitions for dysphagia exist with a summary of potentially associated symptoms such as feeding difficulties, coughing, choking, slow eating and stressful mealtimes, making it difficult to estimate its prevalence in children post OA repair [ 8 , 11 , 12 , 16 , 18 , 23 , 24 ]. Hence, the prevalence of dysphagia in infants, children, adolescents and adults with repaired OA is reported with great variability from 21 to 84% [ 2 , 8 , 10 , 15 , 16 ].…”

Section: Introductionmentioning

confidence: 99%

Swallowing-related quality of life in children with oesophageal atresia: a national cohort study

Bergmann¹,

Ritz

Widenmann-Grolig³

et al. 2022

Eur J Pediatr

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Swallowing and feeding disorders are a major concern for children with oesophageal atresia (OA) after primary or staged OA repair. Primary OA repair is associated with higher rates of short-term complications in preterm infants with very low birth weight (VLBW) or extreme low birth weight (ELBW). On the other hand, primary repair may have the benefit of early commencement of oral feedings. We hypothesize that also in the medium-term, swallowing-related quality of life is better after primary oesophageal repair. We conducted a prospective cross-sectional study on swallowing quality in a national cohort of former VLBW and ELBW children with OA, using the structured paediatric swallowing quality of life (pedSWAL-QOL) questionnaire. Results were correlated with surgical approach and baseline clinical data. Principal component analysis of pedSWAL-QOL domains was performed. In total, 44 complete data sets of 78 children were available. The mean age of children was 8.5 years (SD = 7.4), and 23 children (52%) had primary OA repair. The overall median pedSWAL-QOL score was 2 (IQR = 0–3), representing a high swallowing-related quality of life, independent of surgical technique (p = 0.086). Children with a history of intracranial haemorrhage (ICH) (p = 0.002) and those with VACTERL association (p = 0.008) had significantly decreased enjoyment with eating. In addition, children with VACTERL association had problems to find suitable foods (p = 0.04). Conclusion: In this national cohort of VLBW and ELBW preterm-born children with OA, swallowing-related quality of life is good, mostly independent of initial surgery. Children with OA and ICH or VACTERL association may require more intense support with feeding. What is Known:• Dysphagia, resembling feeding and swallowing disorders, is common in children and adults with repaired oesophageal atresia. Nevertheless, dysphagia in children with oesophageal atresia decreases with age.• Parents of younger children suffer from increased anxiety and fear regarding eating and swallowing abilities of their children. What is New:• Swallowing-related quality of life in former preterm children with oesophageal atresia is good, independent of initial surgical approach (primary vs. staged repair), even in very low birth weight or extreme low birth weight infants. • Children suffering from VACTERL association or intracranial haemorrhage show decreased enjoyment with eating.

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“…The mortality rates of EA/TEF were superior in infants with associated cardiac conditions (42% versus 12% without) [ 6 ]. Gastrointestinal conditions, including gastroesophageal reflux disease (GERD), esophageal dysmotility, strictures, eosinophilic esophagitis (EoE), and tracheomalacia [ 9 ], are often etiologically involved. Esophageal atresia/tracheoesophageal fistulas are anatomically classified into five types according to the Gross classification (types A, B, C, D, E/H) [ 10 , 11 ].…”

Section: Introductionmentioning

confidence: 99%

Infant Pneumonitis Due to a Tracheoesophageal Fistula: A Presentation of Two Autopsy Cases

Tousia,

Platzas,

Goutas

et al. 2023

Cureus

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Both esophageal atresia (EA) and tracheoesophageal fistula (TEF) represent a rather uncommon congenital abnormality that is the result of abnormal tracheoesophageal organogenesis. Although EA, with or without TEF, is relatively uncommon, it represents the most common upper gastrointestinal birth defect. Esophageal atresia and tracheoesophageal fistula are anatomically classified into five types according to the Gross classification (types A, B, C, D, E/H). As in type E/H, the continuity of the esophagus is not interrupted, the symptom onset is consequently delayed, and therefore diagnosis is difficult. Aspiration pneumonitis is a chemical injury caused by inhaled sterile gastric contents, while aspiration pneumonia is, in part, an infectious process because the inhaled oropharyngeal secretions are rich in bacteria. This paper aims to report two infant autopsy cases of aspiration pneumonitis with TEF involvement. The main histopathological finding was interstitial pneumonitis. Upon histopathological examination, lymphocytes, plasma cells, and macrophages were discovered on the alveolar walls, which were compatible with the chemical origin of interstitial pneumonitis. No eosinophils were detected; therefore, hypersensitivity-originating interstitial pneumonitis was ruled out. The cause of death in both cases was interstitial pneumonitis.

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Parental feeding concerns of infants and young children with oesophageal atresia

Cited by 4 publications

References 20 publications

Feeding Difficulty Among Chinese Toddlers Aged 1–3 Years and Its Association With Health and Development

Feeding Difficulty Among Chinese Toddlers Aged 1–3 Years and Its Association With Health and Development

Swallowing-related quality of life in children with oesophageal atresia: a national cohort study

Infant Pneumonitis Due to a Tracheoesophageal Fistula: A Presentation of Two Autopsy Cases

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