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A Program for Weaning Children from Enteral Feeding in a General Pediatric Unit: How, for Whom, and with What

Justine Mirete1, Béatrice Thouvenin1, Gaelle Malecot1

  • 1General Pediatrics Department, Necker University Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France.

Frontiers in Pediatrics
|February 10, 2018
PubMed

Insights

This study evaluated an inpatient pediatric tube-weaning program, finding it successful for half of the children. Factors like female sex and normal neurodevelopment predicted success in pediatric feeding tube weaning.

Area of Science:

  • Pediatric Gastroenterology
  • Clinical Nutrition
  • Child Health Outcomes

Background:

  • Enteral feeding via gastric tubes is common in children with complex medical needs.
  • Tube weaning programs aim to transition children to oral feeding, improving quality of life.
  • Standardized methods and success criteria for pediatric tube weaning are lacking.

Purpose of the Study:

  • To describe the methodology of an inpatient pediatric tube-weaning program.
  • To determine the success rate of this program.
  • To identify factors associated with successful or failed tube weaning in children.

Main Methods:

  • Retrospective analysis of medical records for children undergoing gastric-tube weaning over 8 years.
  • Evaluation of feeding and growth outcomes with at least 2 years of follow-up data.
  • Comparison of characteristics between successful (weaned within 3 months) and failed cases.

Main Results:

  • 37 children (mean age 31.4 months, 29 females) were included, many with severe medical histories (prematurity, growth restriction, genetic/neurological anomalies).
  • The program achieved success in 50% of the children.
  • Factors associated with success included female sex, normal neurodevelopment, use of nasogastric tubes, and <24 months of enteral feeding prior to admission.

Conclusions:

  • The study highlights the need for standardized outcome criteria in pediatric tube-weaning programs.
  • Inpatient tube-weaning programs are valuable for children requiring nutritional support.
  • Further research is needed to compare program efficiencies across different institutions.
Abstract

Keywords:
eating disordersenteral feedingfeeding difficultiesgastrostomytube dependencyweaning

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