Use of Gastrostomy Tubes in Children and Adolescents With Eating Disorders and Related Illnesses

Findlay, Sheri; Toews, Heather; Grant, Christina

doi:10.1016/j.jadohealth.2010.09.019

Cited by 8 publications

(11 citation statements)

References 22 publications

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“…Nutritional therapy in children and adolescents may be provided using regular food or special supplements and delivered orally or via nasogastric tubes to ensure timely provision of adequate nutrients (Rigaud et al, 2007; Zuercher et al, 2003). Gastrostomy feeding and parenteral nutrition have been utilised but should not be part of routine therapy (Diamanti et al, 2008; Findlay et al, 2011; Melchior and Corcos, 2009; Silber, 2008).…”

Section: Anorexia Nervosa In Adolescents and Childrenmentioning

confidence: 99%

Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for the treatment of eating disorders

Hay

Chinn

Forbes

et al. 2014

Aust N Z J Psychiatry

508

500

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Section: Anorexia Nervosa In Adolescents and Childrenmentioning

confidence: 99%

Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for the treatment of eating disorders

Hay

Chinn

Forbes

et al. 2014

Aust N Z J Psychiatry

508

500

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“…Enteral nutrition should always be performed using a small nasogastric tube. Although a few studies reported using percutaneous endoscopic gastrostomy [103], this route should not be used in the nutritional management of anorexia nervosa, because it can aggravate the distortion of body shape perception among patients. An isocaloric and isoprotidic solute should be used continuously (1 mL = 1 kcal) in the first days in case of severe undernutrition, in order to avoid post-stimulatory hypoglycaemia [104]; nocturnal refeeding can also be performed.…”

Section: Resultsmentioning

confidence: 99%

Medication in AN: A Multidisciplinary Overview of Meta-Analyses and Systematic Reviews

Blanchet

Guillaume

Bat-Pitault

et al. 2019

JCM

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Drugs are widely prescribed for anorexia nervosa in the nutritional, somatic, and psychiatric fields. There is no systematic overview in the literature, which simultaneously covers all these types of medication. The main aims of this paper are (1) to offer clinicians an overview of the evidence-based data in the literature concerning the medication (psychotropic drugs and medication for somatic and nutritional complications) in the field of anorexia nervosa since the 1960s, (2) to draw practical conclusions for everyday practise and future research. Searches were performed on three online databases, namely MEDLINE, Epistemonikos and Web of Science. Papers published between September 2011 and January 2019 were considered. Evidence-based data were identified from meta-analyses, if there were none, from systematic reviews, and otherwise from trials (randomized or if not open-label studies). Evidence-based results are scarce. No psychotropic medication has proved efficacious in terms of weight gain, and there is only weak data suggesting it can alleviate certain psychiatric symptoms. Concerning nutritional and somatic conditions, while there is no specific, approved medication, it seems essential not to neglect the interest of innovative therapeutic strategies to treat multi-organic comorbidities. In the final section we discuss how to use these medications in the overall approach to the treatment of anorexia nervosa.

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“…Enteral nutrition must always be performed by a small nasogastric tube. Even if few studies experienced percutaneous endoscopic gastrostomy [53], this pathway isn't recommended in the nutritional management of anorexia nervosa, as it can aggravate the disturbance of body shape perception of patients. An isocaloric and isoprotidic solute must be use (1 ml ¼ 1 Kcal) continuously the first days, in case of severe undernutrition in order to avoid post-stimulatory hypoglycemia [54]; a nocturne refeeding can secondary be performed.…”

Section: Renutrition: Modalities and Goalsmentioning

confidence: 99%

Somatic complications and nutritional management of anorexia nervosa

Gosseaume

Dicembre

Bemer

et al. 2019

Clinical Nutrition Experimental

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Anorexia nervosa (AN) in its two major types (restricting type and binge-eating/purging type) is one of the most frequent and serious eating disorder. Severe undernutrition due to intake restriction and pathological associated behaviors such as potomania and vomiting can cause serious somatic complications such as cardiac and/or hepatic disturbances. Nutritional rehabilitation of undernourished AN patients should be very causes to avoid refeeding syndrome. Managing AN need a multidisciplinary approach including psychiatric and nutritional care.

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Use of Gastrostomy Tubes in Children and Adolescents With Eating Disorders and Related Illnesses

Cited by 8 publications

References 22 publications

Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for the treatment of eating disorders

Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for the treatment of eating disorders

Medication in AN: A Multidisciplinary Overview of Meta-Analyses and Systematic Reviews

Somatic complications and nutritional management of anorexia nervosa

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