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Pahsini, K; Marinschek, S; Kahn, Z; Dunitz-Scheer, M; Scheer, PJ.
Unintended Side-Effects of Enteral Nutrition Support: the Parental Perspective: A Quantitative Analysis.
J Pediatr Gastroenterol Nutr. 2015; 9(4):
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Autor/innen der Med Uni Graz:
Dunitz-Scheer Marguerite
Marinschek Sabine
Pahsini Karoline
Scheer Peter
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Abstract:
This study highlights the occurrence of unintended side-effects of enteral nutrition (EN) in infancy and childhood, as viewed and reported from a parental perspective. Quantitative analysis of a standardized questionnaire, filled out online by parents of enterally fed children. The questions focused on nutritive and non-nutritive side-effects as well as other medical and biometric data. Data were collected from Jan 1, 2009 - Dec 31, 2013. The study cohort consisted of 425 infants and children with different underlying medical conditions and a average age (MN) of 2.17 (median [MD]=1.63). Nasogastric (NG-) tubes were used in 44.2% of all cases and 55.8% children were fed by percutaneous endoscopic gastrostomy (PEG-) tube. Nearly all children have been tube fed since birth. 56.0% of all tube fed children showed regular gagging and retching episodes, 50.0% vomited frequently, 14.8% suffered from nausea, 7.5% suffered from extreme nervous perspiration during the feeding, 45.2% showed loss of appetite, 5.2% suffered from local granulation tissue and 1.9% had other skin irritations. No significant correlations could be found between age, gender, medical diagnoses, type of feeding tube, feeding schedules (bolus or continuous), parental and child's behavior regarding the feeding situation and duration of tube feeding. Enteral nutrition affects the child and the whole family system on more than just a nutritional level. It is suggested that children and their families should be followed-up by health professionals periodically for nutritional optimization, growth documentation and other aspects of tube management.

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