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Clinical management of post-pyloric enteral feeding in children

Teresa Capriati1, Sabrina Cardile, Fabrizio Chiusolo

  • 1Hepatology, Gastroenterology and Nutrition Unit, Bambino Gesù Children's Hospital, Piazza S. Onofrio 4, 00165 Rome, Italy.

Expert Review of Gastroenterology & Hepatology
|May 1, 2015
PubMed

Insights

Post-pyloric feeding (PF) delivers enteral nutrition past the stomach, benefiting children with gastrointestinal issues. This review explores PF

Area of Science:

  • Pediatric Gastroenterology
  • Clinical Nutrition
  • Digestive Physiology

Background:

  • Post-pyloric feeding (PF) bypasses the pylorus for enteral nutrition delivery.
  • Indications include upper GI obstructions, pancreatic dysfunction, gastric dysmotility, and aspiration risk.
  • Evidence in adults informs pediatric applications.

Purpose of the Study:

  • To review the practical management of post-pyloric feeding in pediatric patients.
  • To discuss potential clinical applications of PF in children.
  • To examine physiological changes supporting PF strategies.

Main Methods:

  • Literature review of studies on post-pyloric feeding.
  • Analysis of physiological and clinical evidence in adults and children.
  • Synthesis of data on PF management and applications.

Main Results:

  • PF is indicated for various pediatric GI conditions.
  • Understanding physiological changes supports effective PF management.
  • PF offers a viable nutritional strategy for complex pediatric cases.

Conclusions:

  • Post-pyloric feeding is a valuable tool for pediatric nutritional support.
  • Further research can optimize PF protocols for children.
  • PF management requires consideration of specific pediatric conditions.

Keywords:
childrenduodenal feedingenteral feedingenteral nutritiongastric feedingjejunal feedingpancreatic secretionpost-pyloric feeding

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