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Tube Feeding in Neurologically Disabled Children: Hot Topics and New Directions

Valeria Dipasquale1,2, Madeleine Aumar2,3, Delphine Ley2,3

  • 1Pediatric Gastroenterology and Cystic Fibrosis Unit, Department of Human Pathology in Adulthood and Childhood "G. Barresi", University Hospital "G. Martino", 98124 Messina, Italy.

Nutrients
|September 23, 2022
PubMed

Insights

Tube feeding provides essential nutritional support for children with neurological disabilities. This review highlights recent advancements and emerging trends in pediatric tube-feeding strategies.

Area of Science:

  • Pediatric Gastroenterology
  • Clinical Nutrition
  • Neurology

Background:

  • Tube feeding is crucial for nutritional and gastrointestinal management in children with neurological disabilities (ND).
  • The 2017 European Society of Gastroenterology, Hepatology, and Nutrition (ESPGHAN) consensus paper set a baseline for tube-feeding practices.
  • Specific areas like enteral formulas, access, and tube weaning have gained significant scientific attention.

Purpose of the Study:

  • To review and report on the latest advancements and emerging trends in tube-feeding strategies for children with ND.
  • To consolidate current knowledge on hot topics in pediatric tube feeding.
  • To provide insights into new directions for managing tube-fed children with neurological impairments.

Main Methods:

  • Literature review focusing on recent publications post-2017.
  • Analysis of scientific interest in specific tube-feeding modalities.
  • Synthesis of information on enteral formulas, enteral access, and tube weaning.

Main Results:

  • Identification of key areas of recent research and discussion in pediatric tube feeding.
  • Highlighting of evolving practices in enteral nutrition for children with ND.
  • Summarizing advancements in managing challenging aspects of tube feeding.

Conclusions:

  • Tube feeding remains a vital intervention for children with ND.
  • Ongoing research is refining enteral formulas, access methods, and weaning protocols.
  • New directions in tube-feeding strategies are essential for optimizing care in this population.

Keywords:
gastrostomyinformed consentneurological disabilitypediatricstube feedingtube weaning

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