Feeding difficulties in children with esophageal atresia: A parent-reported multicenter study
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View abstract on PubMed
Summary
This summary is machine-generated.Feeding difficulties are common in children with esophageal atresia and tracheoesophageal fistula. Impaired feeding skills are the main cause, necessitating early intervention for better outcomes.
Area Of Science
- Pediatric Surgery
- Gastroenterology
- Developmental Pediatrics
Background
- Feeding difficulties (FDs) are frequently observed in children with esophageal atresia (EA) and tracheoesophageal fistula (TEF).
- Limited knowledge exists regarding the prevalence and specific risk factors for FDs in this pediatric population.
- This study addresses the need for comprehensive data on FDs in EA/TEF patients.
Purpose Of The Study
- To determine the prevalence and subtypes of pediatric feeding disorders (PFDs) in children with EA/TEF.
- To identify clinical and perinatal factors associated with the development of PFDs in this cohort.
- To evaluate the adequacy of multidisciplinary follow-up care for children with EA/TEF and PFDs.
Main Methods
- A multicenter study involving 75 children who underwent surgery for EA/TEF between 2005 and 2022.
- Parental completion of a structured questionnaire assessing feeding issues.
- Diagnosis and classification of pediatric feeding disorder (PFD) using the Montreal Children's Hospital Feeding Scale and consensus criteria into feeding skills, nutritional, medical, and psychosocial subtypes.
Main Results
- A high prevalence of FDs was reported in 76% of the children, predominantly due to impaired feeding skills (42%).
- Lower gestational age, low birth weight, and delayed oral feeding were significantly associated with PFD.
- Less than half of the children received timely and appropriate multidisciplinary follow-up care.
Conclusions
- Pediatric feeding disorders are highly prevalent in children with EA/TEF, with impaired feeding skills being the primary issue.
- Clinical and perinatal factors are linked to PFD development, highlighting the need for early intervention.
- Multidisciplinary follow-up is crucial for improving outcomes in children with EA/TEF and associated feeding challenges.
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