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Shalem, T; Fradkin, A; Dunitz-Scheer, M; Sadeh-Kon, T; Goz-Gulik, T; Fishler, Y; Weiss, B.
Gastrostomy Tube Weaning and Treatment of Severe Selective Eating in Childhood: Experience in Israel Using an Intensive Three Week Program.
ISR MED ASSOC J. 2016; 18(6): 331-335. [OPEN ACCESS]
Web of Science PubMed


Autor/innen der Med Uni Graz:
Dunitz-Scheer Marguerite

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Plum Analytics:
Children dependent on gastrostomy tube feeding and those with extremely selective eating comprise the most challenging groups of early childhood eating disorders. We established, for the first time in Israel, a 3 week intensive weaning and treatment program for these patients based on the "Graz model." To investigate the Graz model for tube weaning and for treating severe selective eating disorders in one center in Israel. Pre-program assessment of patients' suitability to participate was performed 3 months prior to the study, and a treatment goal was set for each patient. The program included a multidisciplinary outpatient or inpatient 3 week treatment course. The major outcome measures were achievement of the target goal of complete or partial tube weaning for those with tube dependency, and expansion of the child's nutritional diversity for those with selective eating. Thirty-four children, 28 with tube dependency and 6 with selective eating, participated in four programs conducted over 24 months. Their mean age was 4.3 ± 0.37 years. Of all patients, 29 (85%) achieved the target goal (24 who were tube-dependent and 5 selective eaters). One patient was excluded due to aspiration pneumonia. After 6 months follow-up, 24 of 26 available patients (92%) maintained their target or improved. This intensive 3 week program was highly effective in weaning children with gastrostomy tube dependency and ameliorating severe selective eating. Preliminary evaluation of the family is necessary for completion of the program and achieving the child's personal goal, as are an experienced multidisciplinary team and the appropriate hospital setup, i.e., inpatient or outpatient.
Find related publications in this database (using NLM MeSH Indexing)
Child, Preschool -
Combined Modality Therapy -
Device Removal - adverse effects
Device Removal - methods
Device Removal - rehabilitation
Eating - physiology
Eating - psychology
Enteral Nutrition - methods
Enteral Nutrition - psychology
Feeding and Eating Disorders - diagnosis
Feeding and Eating Disorders - physiopathology
Feeding and Eating Disorders - psychology
Feeding and Eating Disorders - therapy
Female -
Gastrostomy - instrumentation
Gastrostomy - methods
Gastrostomy - rehabilitation
Humans -
Humans -
Male -
Patient Care Team - organization & administration
Pneumonia, Aspiration - etiology
Pneumonia, Aspiration - prevention & control
Postoperative Complications - prevention & control
Program Evaluation -
Retrospective Studies -
Social Support -
Weaning -

Find related publications in this database (Keywords)
gastrostomy tube
selective eating
childhood eating disorders
Graz model
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