The Use of Jejunal Tube Feeding in Children: A Position Paper by the Gastroenterology and Nutrition Committees of the European Society for Paediatric Gastroenterology, Hepatology and Nutrition 2019

Ilse Broekaert, Jackie Falconer, Jiri Bronsky, Frederic Gottrand, Luigi Dall'Oglio, Eunic Goto, Iva Hojsak, Jessie Hulst, Brigitte Kochavi, Alexandra Papadopoulou, Carmen Ribes-Koninckx, Michela Schaeppi, Steven Werlin, Michael Wilschanski, Nikhil Thapar

Research output: Contribution to journalArticle

Abstract

OBJECTIVES: Jejunal tube feeding (JTF) is increasingly becoming the standard of care for children where gastric tube feeding is insufficient to achieve caloric needs. Given a lack of a systematic approach to the care of JTF in paediatric patients, the aim of this position paper is to provide expert guidance regarding the indications for its use and practical considerations to optimise its utility and safety.

METHODS: A group of members of the Gastroenterology and Nutrition Committees of the European Society of Paediatric Gastroenterology Hepatology and Nutrition (ESPGHAN) and of invited experts in the field was formed in September 2016 to produce this clinical guide. Seventeen clinical questions treating indications and contraindications, investigations prior to placement, techniques of placement, suitable feeds and feeding regimen, weaning from JTF, complications, long-term care, and ethical considerations were addressed.A systematic literature search was performed from 1982 to November 2018 using Pubmed, the MEDLINE and Cochrane Database of Systematic Reviews. Grading of Recommendations, Assessment, Development, and Evaluation was applied to evaluate the outcomes.During a consensus meeting, all recommendations were discussed and finalized. In the absence of evidence from randomized controlled trials, recommendations reflect the expert opinion of the authors.

RESULTS: A total of 33 recommendations were voted on using the nominal voting technique.

CONCLUSIONS: JTF is a safe and effective means of enteral feeding when gastric feeding is insufficient to meet caloric needs or is not possible. The decision to place a jejunal tube has to be made by close cooperation of a multidisciplinary team (MDT) providing active follow-up and care.

Original languageEnglish
JournalJournal of Pediatric Gastroenterology and Nutrition
DOIs
Publication statusE-pub ahead of print - May 6 2019

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Enteral Nutrition
Gastroenterology
Pediatrics
Aftercare
Expert Testimony
Long-Term Care
Politics
Standard of Care
Weaning
PubMed
MEDLINE
Stomach
Randomized Controlled Trials
Databases
Safety

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The Use of Jejunal Tube Feeding in Children : A Position Paper by the Gastroenterology and Nutrition Committees of the European Society for Paediatric Gastroenterology, Hepatology and Nutrition 2019. / Broekaert, Ilse; Falconer, Jackie; Bronsky, Jiri; Gottrand, Frederic; Dall'Oglio, Luigi; Goto, Eunic; Hojsak, Iva; Hulst, Jessie; Kochavi, Brigitte; Papadopoulou, Alexandra; Ribes-Koninckx, Carmen; Schaeppi, Michela; Werlin, Steven; Wilschanski, Michael; Thapar, Nikhil.

In: Journal of Pediatric Gastroenterology and Nutrition, 06.05.2019.

Research output: Contribution to journalArticle

Broekaert, Ilse ; Falconer, Jackie ; Bronsky, Jiri ; Gottrand, Frederic ; Dall'Oglio, Luigi ; Goto, Eunic ; Hojsak, Iva ; Hulst, Jessie ; Kochavi, Brigitte ; Papadopoulou, Alexandra ; Ribes-Koninckx, Carmen ; Schaeppi, Michela ; Werlin, Steven ; Wilschanski, Michael ; Thapar, Nikhil. / The Use of Jejunal Tube Feeding in Children : A Position Paper by the Gastroenterology and Nutrition Committees of the European Society for Paediatric Gastroenterology, Hepatology and Nutrition 2019. In: Journal of Pediatric Gastroenterology and Nutrition. 2019.
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title = "The Use of Jejunal Tube Feeding in Children: A Position Paper by the Gastroenterology and Nutrition Committees of the European Society for Paediatric Gastroenterology, Hepatology and Nutrition 2019",
abstract = "OBJECTIVES: Jejunal tube feeding (JTF) is increasingly becoming the standard of care for children where gastric tube feeding is insufficient to achieve caloric needs. Given a lack of a systematic approach to the care of JTF in paediatric patients, the aim of this position paper is to provide expert guidance regarding the indications for its use and practical considerations to optimise its utility and safety.METHODS: A group of members of the Gastroenterology and Nutrition Committees of the European Society of Paediatric Gastroenterology Hepatology and Nutrition (ESPGHAN) and of invited experts in the field was formed in September 2016 to produce this clinical guide. Seventeen clinical questions treating indications and contraindications, investigations prior to placement, techniques of placement, suitable feeds and feeding regimen, weaning from JTF, complications, long-term care, and ethical considerations were addressed.A systematic literature search was performed from 1982 to November 2018 using Pubmed, the MEDLINE and Cochrane Database of Systematic Reviews. Grading of Recommendations, Assessment, Development, and Evaluation was applied to evaluate the outcomes.During a consensus meeting, all recommendations were discussed and finalized. In the absence of evidence from randomized controlled trials, recommendations reflect the expert opinion of the authors.RESULTS: A total of 33 recommendations were voted on using the nominal voting technique.CONCLUSIONS: JTF is a safe and effective means of enteral feeding when gastric feeding is insufficient to meet caloric needs or is not possible. The decision to place a jejunal tube has to be made by close cooperation of a multidisciplinary team (MDT) providing active follow-up and care.",
author = "Ilse Broekaert and Jackie Falconer and Jiri Bronsky and Frederic Gottrand and Luigi Dall'Oglio and Eunic Goto and Iva Hojsak and Jessie Hulst and Brigitte Kochavi and Alexandra Papadopoulou and Carmen Ribes-Koninckx and Michela Schaeppi and Steven Werlin and Michael Wilschanski and Nikhil Thapar",
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doi = "10.1097/MPG.0000000000002379",
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T1 - The Use of Jejunal Tube Feeding in Children

T2 - A Position Paper by the Gastroenterology and Nutrition Committees of the European Society for Paediatric Gastroenterology, Hepatology and Nutrition 2019

AU - Broekaert, Ilse

AU - Falconer, Jackie

AU - Bronsky, Jiri

AU - Gottrand, Frederic

AU - Dall'Oglio, Luigi

AU - Goto, Eunic

AU - Hojsak, Iva

AU - Hulst, Jessie

AU - Kochavi, Brigitte

AU - Papadopoulou, Alexandra

AU - Ribes-Koninckx, Carmen

AU - Schaeppi, Michela

AU - Werlin, Steven

AU - Wilschanski, Michael

AU - Thapar, Nikhil

PY - 2019/5/6

Y1 - 2019/5/6

N2 - OBJECTIVES: Jejunal tube feeding (JTF) is increasingly becoming the standard of care for children where gastric tube feeding is insufficient to achieve caloric needs. Given a lack of a systematic approach to the care of JTF in paediatric patients, the aim of this position paper is to provide expert guidance regarding the indications for its use and practical considerations to optimise its utility and safety.METHODS: A group of members of the Gastroenterology and Nutrition Committees of the European Society of Paediatric Gastroenterology Hepatology and Nutrition (ESPGHAN) and of invited experts in the field was formed in September 2016 to produce this clinical guide. Seventeen clinical questions treating indications and contraindications, investigations prior to placement, techniques of placement, suitable feeds and feeding regimen, weaning from JTF, complications, long-term care, and ethical considerations were addressed.A systematic literature search was performed from 1982 to November 2018 using Pubmed, the MEDLINE and Cochrane Database of Systematic Reviews. Grading of Recommendations, Assessment, Development, and Evaluation was applied to evaluate the outcomes.During a consensus meeting, all recommendations were discussed and finalized. In the absence of evidence from randomized controlled trials, recommendations reflect the expert opinion of the authors.RESULTS: A total of 33 recommendations were voted on using the nominal voting technique.CONCLUSIONS: JTF is a safe and effective means of enteral feeding when gastric feeding is insufficient to meet caloric needs or is not possible. The decision to place a jejunal tube has to be made by close cooperation of a multidisciplinary team (MDT) providing active follow-up and care.

AB - OBJECTIVES: Jejunal tube feeding (JTF) is increasingly becoming the standard of care for children where gastric tube feeding is insufficient to achieve caloric needs. Given a lack of a systematic approach to the care of JTF in paediatric patients, the aim of this position paper is to provide expert guidance regarding the indications for its use and practical considerations to optimise its utility and safety.METHODS: A group of members of the Gastroenterology and Nutrition Committees of the European Society of Paediatric Gastroenterology Hepatology and Nutrition (ESPGHAN) and of invited experts in the field was formed in September 2016 to produce this clinical guide. Seventeen clinical questions treating indications and contraindications, investigations prior to placement, techniques of placement, suitable feeds and feeding regimen, weaning from JTF, complications, long-term care, and ethical considerations were addressed.A systematic literature search was performed from 1982 to November 2018 using Pubmed, the MEDLINE and Cochrane Database of Systematic Reviews. Grading of Recommendations, Assessment, Development, and Evaluation was applied to evaluate the outcomes.During a consensus meeting, all recommendations were discussed and finalized. In the absence of evidence from randomized controlled trials, recommendations reflect the expert opinion of the authors.RESULTS: A total of 33 recommendations were voted on using the nominal voting technique.CONCLUSIONS: JTF is a safe and effective means of enteral feeding when gastric feeding is insufficient to meet caloric needs or is not possible. The decision to place a jejunal tube has to be made by close cooperation of a multidisciplinary team (MDT) providing active follow-up and care.

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JO - Journal of Pediatric Gastroenterology and Nutrition

JF - Journal of Pediatric Gastroenterology and Nutrition

SN - 0277-2116

ER -