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Dramatic changes in home-based enteral nutrition practices in children during an 11-year period

Walter Daveluy1, Dominique Guimber, Stéphanie Uhlen

  • 1Unité de Gastroentérologie, Hépatologie et Nutrition, Clinique de Pédiatrie, Centre Hospitalier Regional Universitaire de Lille, France. w-daveluy@chru-lille.fr

Journal of Pediatric Gastroenterology and Nutrition
|August 1, 2006
PubMed

Insights

Pediatric home-based enteral nutrition (HEN) activity significantly increased over 11 years, with younger children treated using gastrostomy and commercial diets. This trend highlights the need for specialized pediatric artificial nutrition units.

Area of Science:

  • Pediatric Gastroenterology
  • Clinical Nutrition
  • Healthcare Management

Background:

  • Home-based enteral nutrition (HEN) in pediatric populations is infrequently reported.
  • Understanding trends in pediatric HEN is crucial for resource allocation and care optimization.

Purpose of the Study:

  • To investigate the evolution of pediatric home-based enteral nutrition (HEN) activity over an 11-year period.
  • To identify changes in patient demographics and treatment modalities.

Main Methods:

  • Retrospective study of pediatric patients (≤17 years) initiating HEN between 1990 and 2000.
  • Analysis of patient numbers, age, feeding tube types, primary diagnoses, and diet composition.

Main Results:

  • Dramatic increase in annual HEN patients from 16 (1990) to 200 (2000).
  • Decreased mean age at HEN initiation and shift from nasogastric tubes to gastrostomy.
  • Reduced proportion of patients with digestive diseases and increased use of commercial pediatric diets.

Conclusions:

  • Pediatric HEN has evolved significantly, with shifts in patient population and treatment methods.
  • The emergence of gastrostomy and commercial diets influenced treatment approaches.
  • These changes support the establishment of dedicated pediatric artificial nutrition units.
Abstract

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