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Complex Care Across the Continuum: The ABCs of Enteral Tubes in Pediatrics

Julie Lavoie1, Annemarie Hengel2, Paige Kokta2

  • 1Enteral Feeding & Disordered Eating, Children's Wisconsin, Milwaukee, WI, USA.

Gastroenterology Clinics of North America
|November 14, 2025
PubMed

Insights

An interdisciplinary program improved care for pediatric patients requiring nasogastric tubes and enteral feeding tubes. This initiative streamlined processes and enhanced patient outcomes by creating specialized clinical pathways for tube management.

Area of Science:

  • Pediatric Gastroenterology
  • Medical Device Management
  • Healthcare Systems Engineering

Background:

  • Nasogastric tubes and enteral feeding tubes are essential for pediatric nutrition support.
  • Navigating the care for these tubes presents challenges for families and clinicians within complex healthcare systems.
  • Existing care models may lack specialized, integrated support for the entire lifecycle of feeding tubes.

Purpose of the Study:

  • To describe the development and impact of an interdisciplinary program for pediatric tube feeding care.
  • To evaluate improvements in processes and patient outcomes following the implementation of a dedicated tube management program.
  • To establish clinical pathways for optimizing the safe and effective use of nasogastric and enteral feeding tubes in children.

Main Methods:

  • Implementation of a multidisciplinary team focused on pediatric tube feeding.
  • Development and integration of standardized clinical pathways for tube management.
  • Longitudinal assessment of process metrics and patient outcomes before and after program implementation.

Main Results:

  • Demonstrated improvements in care coordination and efficiency for pediatric patients with feeding tubes.
  • Observed positive trends in patient outcomes attributed to the specialized program.
  • Successful integration of clinical pathways into routine practice, enhancing safety and effectiveness.

Conclusions:

  • An interdisciplinary program significantly enhances the management of pediatric feeding tubes.
  • Standardized clinical pathways are crucial for navigating complex care systems and improving outcomes.
  • This model offers a framework for optimizing nutrition support and patient care in pediatric settings.

Keywords:
Complex careEnteral feedingGastrostomy tubeNasogastric bridleNutrition support

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