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Feeding difficulties, food intake, and growth in children with esophageal atresia

Kjersti Birketvedt1, Audun Mikkelsen2, Ragnhild Hanssen3

  • 1Centre of Rare Diseases, Division of Pediatric and Adolescent Medicine Oslo University Hospital Oslo Norway.

JPGN Reports
|November 29, 2024
PubMed

Insights

Feeding difficulties affect one-third of children with esophageal atresia (EA), correlating with lower energy intake and weight-for-age. Early screening during follow-up is crucial for timely intervention in EA patients.

Area of Science:

  • Pediatric Gastroenterology
  • Clinical Nutrition
  • Congenital Anomalies

Background:

  • Feeding difficulties and nutritional challenges in children with esophageal atresia (EA) are understudied.
  • Esophageal atresia requires comprehensive management beyond surgical repair, including nutritional support.

Purpose of the Study:

  • To investigate parent-reported feeding difficulties in children with EA using the Montreal Children's Hospital-Feeding Scale (MCH-FS).
  • To examine associations between feeding difficulties and clinical factors, growth parameters, and nutritional intake in EA patients.

Main Methods:

  • A prospective cohort study involving parents of children with EA born between 2012 and 2017.
  • Parent-reported feeding difficulties assessed using MCH-FS at two time points.
  • Dietary intake data collected via 24-hour food recall at the second assessment; clinical data from medical records.

Main Results:

  • Feeding difficulties were reported by 34% and 31% of parents at the two assessment points.
  • No specific feeding concern profile was identified.
  • Children's energy intake and weight-for-age were significantly correlated with feeding difficulties (MCH-FS total score, p < 0.02).

Conclusions:

  • Approximately one-third of children with EA experience parent-reported feeding difficulties.
  • These difficulties are linked to reduced energy intake and lower weight-for-age, independent of clinical factors.
  • Routine screening for feeding difficulties is recommended during EA follow-up to enable early detection and intervention.
Abstract

Keywords:
Montreal Childrens' Hospital Feeding scale (MCH‐FS)dietary surveyfeeding developmentnutritional intakeparent‐reported

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