Pediatric Feeding Disorder in Children With Short Bowel Syndrome

Vikram J Christian1, Megan Van Hoorn2, Cassandra L S Walia2

  • 1Department of Pediatrics, Division of Gastroenterology, University of Minnesota, Minneapolis, MN.

Insights

Pediatric feeding disorder (PFD) is common in children with short bowel syndrome (SBS). While PFD prevalence decreases with age, affected children require ongoing medical care.

Area of Science:

  • Pediatric Gastroenterology
  • Nutritional Science
  • Clinical Research

Background:

  • Short bowel syndrome (SBS) significantly impacts pediatric nutrition and development.
  • Pediatric feeding disorder (PFD) is a recognized complication in children with SBS.

Purpose of the Study:

  • To determine the prevalence of PFD in pediatric patients with SBS.
  • To identify factors associated with the persistence of PFD in this population.

Main Methods:

  • A retrospective study analyzed data from 28 pediatric SBS patients.
  • Data were collected at regular intervals from diagnosis up to 4 years of age.
  • Nutritional support, demographics, and anthropometric data were recorded.

Main Results:

  • PFD prevalence was high, starting at 100% at 1 year and decreasing to 70% by 4 years.
  • Resolution of PFD was associated with necrotizing enterocolitis as the etiology and greater remaining small bowel percentage.
  • Vomiting and need for postpyloric feeds were more common in patients with PFD.

Conclusions:

  • Pediatric feeding disorder is highly prevalent in children with short bowel syndrome.
  • Although PFD prevalence declines, affected children necessitate continued medical attention.
  • Factors like etiology and residual bowel length influence PFD resolution.
Abstract

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