Trends and challenges in home enteral feeding methods for children with gastrointestinal disorders: an expert review on bolus feeding delivery methods

被引:0
作者
Romano, Claudio [1 ,10 ]
Lionetti, Paolo [2 ]
Spagnuolo, Maria Immacolata [3 ]
Amarri, Sergio [4 ]
Diamanti, Antonella [5 ]
Verduci, Elvira [6 ,7 ]
Lezo, Antonella [8 ]
Simona, Gatti [9 ]
机构
[1] Univ Messina, Pediat Gastroenterol & Cyst Fibrosis Unit, Messina, Italy
[2] Univ Florence, Meyer Childrens Hosp, Dept NEUROFARBA, Gastroenterol & Nutr Unit, Florence, Italy
[3] Univ Naples Federico II, Dept Translat Med Sci, Sect Pediat, Naples, Italy
[4] Fdn Hosp MTC Seragnoli, Pediat Palliat Care, Bentivoglio, Italy
[5] Childrens Hosp, Artificial Nutr Unit Bambino Gesu, Rome, Italy
[6] Buzzi Childrens Hosp, Dept Pediat, Milan, Italy
[7] Univ Milan, Dept Hlth Sci, Milan, Italy
[8] Regina Margher Childrens Hosp, Div Clin Nutr, Turin, Italy
[9] Univ Politecn Marche, Dept Pediat, Ancona, Italy
[10] Univ Messina, Pediat Gastroenterol & Cyst Fibrosis Unit, I-98122 Messina, Italy
关键词
Home nutrition support; enteral nutrition; bolus feeding; administration; pediatrics; PERCUTANEOUS ENDOSCOPIC GASTROSTOMY; QUALITY-OF-LIFE; ARTIFICIAL NUTRITION; NASOGASTRIC TUBE; NECK-CANCER; FOOD-INTAKE; ADULTS; QUESTIONNAIRE; EXPERIENCES; PREVALENCE;
D O I
10.1080/17474124.2023.2289530
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
IntroductionNew evidence supports the benefits of bolus feeding for children receiving home enteral feeding (HEN). Current home methods of bolus feeding have certain limitations, particularly in mobile or restless patients. Therefore, innovative delivery methods have been introduced to provide more flexible methods of reducing feeding time and formula handling.Areas coveredThis manuscript presents an expert review of the updates in HEN for children and the results of an online user experience questionnaire about an innovative new cap-based bolus feeding system. A literature bibliographic search was conducted on Medline via PubMed up to September 2023 to collect relevant studies. We presented recent evidence demonstrating a dramatic increase in HEN use among children requiring EN and its benefits on patients' nutritional status and quality of life. In addition, the article examined the clinical and social benefits of bolus feeding and current challenges in delivery methods. We described the benefits of the new system and its user experience.Expert opinionThe uses and indications for bolus feeding in HEN are increasing among children. However, there are still some unmet needs regarding traditional delivery methods. Innovative techniques can improve flexibility, reduce feeding time, and improve user experience and quality of life.
引用
收藏
页码:193 / 202
页数:10
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