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[Continuous enteral feeding in children. Technic and indications in 170 cases from 1969 to 1975]

C Ricour, J F Duhamel, C Nihoul-Fekete

    Archives Francaises De Pediatrie
    |February 1, 1977
    PubMed

    Insights

    Continuous gastrointestinal infusion effectively treated severe undernutrition in 170 children, with very satisfactory results in most cases. This nutritional support method, often requiring initial intravenous feeding, demonstrated significant benefits for pediatric patients with complex gastrointestinal disorders.

    Area of Science:

    • Pediatric Gastroenterology
    • Clinical Nutrition
    • Intestinal Failure Management

    Context:

    • Severe undernutrition poses significant challenges in pediatric care, particularly in infants.
    • Managing intestinal failure often requires specialized nutritional support strategies.
    • Gastrointestinal (GI) disorders necessitate tailored therapeutic approaches.

    Purpose:

    • To evaluate the efficacy and outcomes of continuous gastrointestinal infusion in children with severe undernutrition.
    • To analyze the indications, methods, and results of intestinal infusion therapy.
    • To discuss the optimal site and composition of infusates for GI infusion.

    Summary:

    • 170 children with severe undernutrition, including 153 infants, underwent continuous gastrointestinal infusion for 3 to 18 months.
    • Eighteen patients died from primary diseases; outcomes were satisfactory in 148, with 4 remaining dependent on the technique at 24 months.
    • Intravenous feeding via caval catheter preceded GI infusion in 65% of cases, with detailed discussion on infusion site and composition based on the underlying disorder.

    Impact:

    • Continuous GI infusion offers a viable and effective long-term nutritional solution for severe pediatric undernutrition and intestinal failure.
    • The study highlights the importance of individualized treatment strategies, including the choice of infusion site and infusate composition.
    • This approach can significantly improve outcomes for children with complex GI conditions, reducing mortality and dependency on intensive care.

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