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Requirement and Duration of Tube Feed Supplementation among Congenital Diaphragmatic Hernia Patients

Matthew K W Wong1, Beth Haliburton2, Ashley Graham3

  • 1Division of General and Thoracic Surgery, The Hospital for Sick Children, Toronto, ON, Canada.

Journal of Pediatric Surgery
|February 19, 2019
PubMed

Insights

Congenital diaphragmatic hernia (CDH) infants often require tube feeding (TF) for growth. Factors like low initial pH and prolonged ICU stay are linked to TF use, with many infants needing long-term nutritional support.

Area of Science:

  • Pediatric Surgery
  • Neonatology
  • Nutritional Support

Background:

  • Congenital diaphragmatic hernia (CDH) presents significant feeding challenges for infants.
  • Nutritional support via tube feeding (TF) is often necessary for adequate growth in these patients.

Purpose of the Study:

  • To investigate the duration and associated factors of tube feeding (TF) use in infants with congenital diaphragmatic hernia (CDH).

Main Methods:

  • Retrospective chart review of CDH infants undergoing surgical repair between 2000 and 2013.
  • Analysis of patient demographics, perinatal management, and feeding status in infants with at least one year of follow-up.

Main Results:

  • 20% of 160 CDH infants were discharged on TF, with an additional 3.1% starting post-discharge.
  • TF use was associated with lower initial arterial blood pH (<7.25), patch repair, ECMO support, and prolonged ICU stay.
  • 33.3% of infants on TF remained so at last follow-up; discontinuation time did not differ between partial or full TF.

Conclusions:

  • High-risk CDH infants frequently require TF for nutritional support.
  • Informed parental/caregiver support and long-term monitoring of growth and development are crucial for CDH patients.
Abstract

Keywords:
Congenital diaphragmatic herniaGastrostomyMorbidityNutritionTube feeding

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