Abstract
Nasogastric tube feeding (NGTF) is frequently necessary to overcome the inadequate caloric intake of children with severe chronic renal failure (CRF). In a multicenter retrospective study, we evaluated feeding dysfunction after tube feeding withdrawal in children with severe CRF who started long-term enteral nutrition early in childhood. We considered, almost exclusively, infants who had started NGTF very early and continued to be tube fed for at least 9 months. Twelve patients were included in the study: 8 showed significant and persistent eating difficulties, with difficulties in chewing and swallowing in 7 and food refusal in 6. For 2 patients 'panic attacks' from swallowing were repeatedly reported. These problems persisted for more than year in 5 patients and between 1 and 6 months in 4. The possible feeding difficulties that may follow NTGF must be carefully evaluated. A possible means of overcoming these difficulties might include: encouraging the use of a pacifier, proposing water for spontaneous assumption, leaving the child the possibility of eating food spontaneously during the daytime, and increased support for the parents during weaning. These need prospective study.
| Original language | English |
|---|---|
| Pages (from-to) | 84-86 |
| Number of pages | 3 |
| Journal | Pediatric Nephrology |
| Volume | 11 |
| Issue number | 1 |
| DOIs | |
| Publication status | Published - Feb 1997 |
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Keywords
- Chronic renal failure
- Eating difficulties
- Nasogastric tube feeding
ASJC Scopus subject areas
- Nephrology
- Pediatrics, Perinatology, and Child Health
Cite this
Feeding dysfunction in infants with severe chronic renal failure after long-term nasogastric tubefeeding. / Dello Strologo, Luca; Principato, Flavia; Sinibaldi, Donatella; Appiani, Aldo Claris; Terzi, Fabiola; Dartois, Anne Marie; Rizzoni, Gianfranco.
In: Pediatric Nephrology, Vol. 11, No. 1, 02.1997, p. 84-86.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Feeding dysfunction in infants with severe chronic renal failure after long-term nasogastric tubefeeding
AU - Dello Strologo, Luca
AU - Principato, Flavia
AU - Sinibaldi, Donatella
AU - Appiani, Aldo Claris
AU - Terzi, Fabiola
AU - Dartois, Anne Marie
AU - Rizzoni, Gianfranco
PY - 1997/2
Y1 - 1997/2
N2 - Nasogastric tube feeding (NGTF) is frequently necessary to overcome the inadequate caloric intake of children with severe chronic renal failure (CRF). In a multicenter retrospective study, we evaluated feeding dysfunction after tube feeding withdrawal in children with severe CRF who started long-term enteral nutrition early in childhood. We considered, almost exclusively, infants who had started NGTF very early and continued to be tube fed for at least 9 months. Twelve patients were included in the study: 8 showed significant and persistent eating difficulties, with difficulties in chewing and swallowing in 7 and food refusal in 6. For 2 patients 'panic attacks' from swallowing were repeatedly reported. These problems persisted for more than year in 5 patients and between 1 and 6 months in 4. The possible feeding difficulties that may follow NTGF must be carefully evaluated. A possible means of overcoming these difficulties might include: encouraging the use of a pacifier, proposing water for spontaneous assumption, leaving the child the possibility of eating food spontaneously during the daytime, and increased support for the parents during weaning. These need prospective study.
AB - Nasogastric tube feeding (NGTF) is frequently necessary to overcome the inadequate caloric intake of children with severe chronic renal failure (CRF). In a multicenter retrospective study, we evaluated feeding dysfunction after tube feeding withdrawal in children with severe CRF who started long-term enteral nutrition early in childhood. We considered, almost exclusively, infants who had started NGTF very early and continued to be tube fed for at least 9 months. Twelve patients were included in the study: 8 showed significant and persistent eating difficulties, with difficulties in chewing and swallowing in 7 and food refusal in 6. For 2 patients 'panic attacks' from swallowing were repeatedly reported. These problems persisted for more than year in 5 patients and between 1 and 6 months in 4. The possible feeding difficulties that may follow NTGF must be carefully evaluated. A possible means of overcoming these difficulties might include: encouraging the use of a pacifier, proposing water for spontaneous assumption, leaving the child the possibility of eating food spontaneously during the daytime, and increased support for the parents during weaning. These need prospective study.
KW - Chronic renal failure
KW - Eating difficulties
KW - Nasogastric tube feeding
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UR - http://www.scopus.com/inward/citedby.url?scp=0031032761&partnerID=8YFLogxK
U2 - 10.1007/s004670050239
DO - 10.1007/s004670050239
M3 - Article
VL - 11
SP - 84
EP - 86
JO - Pediatric Nephrology
JF - Pediatric Nephrology
SN - 0931-041X
IS - 1
ER -