Moving from tube to oral feeding in medically fragile nonverbal toddlers.
نویسندگان
چکیده
The current article describes a 14-week outpatient protocol for transitioning from 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 and low-dose tricyclic antidepressant and/or gabapentin. 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 1 was eating 50% orally.
منابع مشابه
Transition from tube to oral feeding in the school setting.
PURPOSE A school-based treatment program for tube-fed children with medically complex conditions and food refusal was implemented to facilitate the children's transition to oral feeding and advance their eating skills. METHOD The program combined educational and therapeutic goals. It was implemented in a regional public school for children with hearing impairments. A team approach was used. C...
متن کاملA Randomized Controlled Trial of an Outpatient Protocol for Transitioning Children from Tube to Oral Feeding: No Need for Amitriptyline.
OBJECTIVE To assess the role of amitriptyline in the effectiveness of an outpatient protocol for weaning medically complicated children from tube to oral feeding. STUDY DESIGN Twenty-one children seen in multidisciplinary outpatient feeding teams across 4 sites were recruited to a randomized placebo-controlled trial of a 6-month outpatient treatment protocol with behavioral, oral-motor, nutri...
متن کاملImproving Feeding Skills and Mealtime Behaviors in Children and Youth with Disabilities
A single-subject multiple treatment design counterbalanced across nine participants with moderate to severe and multiple disabilities was used to determine the efficacy of a school-based multi-treatment package (a combined dysphagia treatment and positive reinforcement behavior management program) for children and youth (ages 4-17) with feeding problems as compared to use of a dysphagia treatme...
متن کاملEvaluating the implementation of a quality improvement initiative: weekend gastrojejunostomy tube maintenance service in a tertiary pediatric center.
INTRODUCTION BACKGROUND: • Children unable to feed safely and adequately by mouth may be fed via a gastrostomy tube (G) • Children with associated severe gastroesophageal reflux may be fed via a gastrojejunostomy (GJ) tube. • Many children fed via GJ tubes have multiple complex co-morbidities – medically fragile group of children • GJ tubes require intermittent maintenance procedures (tube chec...
متن کاملThe Effect of Non-nutritive Sucking on Mother's Finger on Feeding Tolerance and Attainment of Independent Oral Feeding in Preterm Infants: A Randomized Trial
Background Non-nutritive sucking is part of the initial development process in preterm infants that may speed up the transition from the tube to oral feeding. The aim of this study was to evaluate the effect of non-nutritive sucking on mother's finger on feeding tolerance and attainment of independent oral feeding in preterm infants. Materials and Methods This single blind clinical trial was co...
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ورودعنوان ژورنال:
- Journal of pediatric gastroenterology and nutrition
دوره 49 2 شماره
صفحات -
تاریخ انتشار 2009