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Home enteral nutrition in children: an 11-year experience with 416 patients

Walter Daveluy1, Dominique Guimber, Karine Mention

  • 1Unité de Gastroentérologie, Hépatologie et Nutrition, Clinique de Pédiatrie, Centre Hospitalier Regional Universitaire de Lille, France. walterd@netcourrier.com

Clinical Nutrition (Edinburgh, Scotland)
|February 1, 2005
PubMed

Insights

Paediatric home enteral nutrition (HEN) is a viable long-term treatment for numerous childhood chronic diseases. This study details its application in 416 children over a decade, highlighting its early initiation and prolonged use.

Area of Science:

  • Pediatric Gastroenterology
  • Clinical Nutrition
  • Home Healthcare

Background:

  • Limited published evidence exists on pediatric home enteral nutrition (HEN).
  • This study addresses the need for detailed experience in this field.

Purpose of the Study:

  • To report on the experience of pediatric home enteral nutrition.
  • To provide detailed evidence on the application and outcomes of HEN in children.

Main Methods:

  • Retrospective study of patients under 18 years old.
  • Inclusion period: January 1990 to December 2000.
  • Data collected on patient demographics, indications, feeding methods, and duration.

Main Results:

  • 416 children received 243,844 days of HEN.
  • Common indications included digestive (35%) and neurological/muscular disorders (35%).
  • Feeding methods involved nasogastric tubes (53%) or gastrostomy (41%), with 98% using mechanical pumps.

Conclusions:

  • Home enteral nutrition is a feasible treatment for a wide range of chronic pediatric diseases.
  • HEN can be initiated early in life and sustained for extended periods.
Abstract

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