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

[1] Feeding disorders in children: Taking an interdisciplinary approach [J].

Ayoob, Keith-Thomas ;

Barresi, Ida .

PEDIATRIC ANNALS, 2007, 36 (08) :478-483

[2] Double-blind placebo-controlled trial of amitriptyline for the treatment of irritable Bowel syndrome in adolescents [J].

Bahar, Ron J. ;

Collins, Brynie S. ;

Steinmetz, Barry ;

Ament, Marvin E. .

JOURNAL OF PEDIATRICS, 2008, 152 (05) :685-689

[3] Discontinuation of enterostomy tube feeding by behavioral treatment in early childhood: A randomized controlled trial [J].

Benoit, D ;

Wang, EEL ;

Zlotkin, SH .

JOURNAL OF PEDIATRICS, 2000, 137 (04) :498-503

[4]

BLACKMAN JA, 1987, J DEV BEHAV PEDIATR, V8, P63

[5] A multicomponent behavioral program for oral aversion in children dependent on gastrostomy Feedings [J].

Byars, KC ;

Burklow, KA ;

Ferguson, K ;

O'Flaherty, T ;

Santoro, K ;

Kaul, A .

JOURNAL OF PEDIATRIC GASTROENTEROLOGY AND NUTRITION, 2003, 37 (04) :473-480

[6] Fluoxetine in posttraumatic eating disorder in 2-year-old twins [J].

Celik, Gonca ;

Diler, Rasim Somer ;

Tahiroglu, Aysegul Yolga ;

Avci, Ayse .

JOURNAL OF CHILD AND ADOLESCENT PSYCHOPHARMACOLOGY, 2007, 17 (02) :233-236

[7] Pharmacotherapy for functional gastrointestinal disorders in children [J].

Chitkara, Denesh K. ;

Di Lorenzo, Carlo .

CURRENT OPINION IN PHARMACOLOGY, 2006, 6 (06) :536-540

[8]

Clawson EP, 2007, NEUROREHABILITATION, V22, P397

[9]

Crowell Michael D, 2004, Curr Opin Investig Drugs, V5, P736

[10] Development of swallowing and feeding: Prenatal through first year of life [J].

Delaney, Amy L. ;

Arvedson, Joan C. .

DEVELOPMENTAL DISABILITIES RESEARCH REVIEWS, 2008, 14 (02) :105-117

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