Moving From Tube to Oral Feeding in Medically Fragile Nonverbal Toddlers

被引：37

作者：

Davis, Ann McGrath ^{[1
]}

Bruce, Amanda Schurle ^{[2
]}

Mangiaracina, Cathy ^{[3
]}

Schulz, Trina ^{[4
]}

Hyman, Paul ^{[5
]}

机构：

[1] Univ Kansas, Med Ctr, Dept Pediat, Kansas City, KS 66160 USA

[2] Univ Kansas, Med Ctr, Hoglund Brain Imaging Ctr, Kansas City, KS 66160 USA

[3] Univ Kansas, Med Ctr, Ctr Child Hlth & Dev, Kansas City, KS 66160 USA

[4] Univ Kansas Hosp, Dept Occupat Therapy, Kansas City, KS USA

[5] Childrens Hosp, Dept Pediat, New Orleans, LA USA

来源：

JOURNAL OF PEDIATRIC GASTROENTEROLOGY AND NUTRITION | 2009年 / 49卷 / 02期

基金：

美国国家卫生研究院;

关键词：

Feeding behavior; Oral feeding; Outpatient program; Pain rehabilitation; Pediatric feeding; Tube feeding; CONTROLLED-TRIAL; YOUNG-CHILDREN; FOOD REFUSAL; DOUBLE-BLIND; DISCONTINUATION; DISORDERS;

D O I：

10.1097/MPG.0b013e31819b5db9

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

The current article describes a 14-week Outpatient protocol for transitioning front gastrostomy tube to oral feeding in toddlers with medical complications. The team ensured that eating skills were mastered before treating patients for 8 weeks with Continuous gastrojejunal drip tube feedings low-dose tricyclic antidepressant and/or gabapentin. and We prescribed 6 weeks of megestrol for hunger provocation while withdrawing tube feedings. A chart review after treatment demonstrated 9 subjects were eating exclusively orally and I was eating 50% orally. JPGN 49:233-236, 2009.

引用

页码：233 / 236

页数：4

共 23 条

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