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Therapeutic Enteral Formulas in Children
John Matthai1, Neelam Mohan2, M S Viswanathan3
1Masonic Medical Centre for children, Coimbatore, India. Correspondence to: Prof John Matthai, Pediatric Gastroenterologist, Masonic medical center, Race course, Coimbatore 641004. psg_peds@yahoo.com.
Indian Pediatrics
|February 11, 2020
Summary
Pediatric therapeutic enteral formulas for various diseases are now available in India, but awareness among doctors is low. This review details available options for conditions like lactose intolerance and metabolic disorders.
Area of Science:
- Clinical Nutrition
- Pediatric Gastroenterology
- Medical Food Science
Background:
- Specialized enteral formulas have recently become available in India.
- There is a noted lack of awareness among pediatricians regarding these therapeutic options and their specific uses.
Purpose of the Study:
- To review the types and indications of therapeutic enteral formulas available in India.
- To address the low awareness among healthcare professionals regarding these specialized nutritional products.
Main Methods:
- A comprehensive literature search was performed using PubMed.
- Data on commercially available formulas were gathered from companies, the Diet 4 life initiative, and the Food Safety and Standards Authority of India (FSSAI).
Main Results:
- Therapeutic enteral formulas fall into four main categories: lactose-modified, hydrolyzed, medium-chain triglyceride (MCT)-based, and metabolic disease-specific.
- Specific indications include lactose intolerance, galactosemia, milk protein allergy, diffuse intestinal mucosal disease, cholestasis in chronic liver disease, and inborn errors of metabolism.
- A list of proprietary formulas available in India, with their specifications, has been compiled.
Conclusions:
- The availability of diverse enteral formulas in India necessitates increased pediatrician awareness and education.
- Understanding the specific categories and indications is crucial for appropriate patient management and nutritional support.
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