Tube Feeding in Children

Dr.Fawaz AlRefaee,MBBS FAAP FRCPC Consultant Pediatric Gastroenterologist,Kuwait

International Growth and Development Conference Dubai,UAE

March 16,2018

Objectives

-Describe the indications and delivery methods of tube feeding in children

-Summarize the components of enteral feeding and monitoring strategies

-Discuss safety measures of tube feeding in children

Poll Question

Answer : D

Child needs long term enteral feeding via G tube as intermittent boluses to be more physiological

NUTRITIONAL INTERVENTIONS

Parenteral nutrition

Enteral feeding

Oral nutritional supplements

Nutritional counseling

Chosen approach should increase stepwise in respect to

underlying condition & impairment of nutritional status

Paediatric EN:

Evidence based guidelines

Referances

• Seres DS, Valcarcel M, Guillaume A Advantages of enteral nutrition over parenteral nutrition. Therap Adv Gastroenterol. 2013;6(2):157–167

• Braunschweig CL, Levy P, Sheean PM, Wang X Enteral compared with parenteral nutrition: a meta-

analysis. Am J Clin Nutr. 2001;74(4):534–54

• Jeejeebhoy KN Enteral nutrition versus parenteral nutrition--the risks and benefits. Nat Clin Pract Gastroenterol Hepatol. 2007;4(5):260–265

• Barrett M, Demehri FR, Teitelbaum DH Intestine, immunity, and parenteral nutrition in an era of preferred enteral feeding. Curr Opin Clin Nutr Metab Care. 2015;18(5):496–500

• Secker DJ, Jeejeebhoy KN How to perform Subjective Global Nutritional assessment in children. J

Acad Nutr Diet. 2012;112(3):424–431 e6

Thanks Questions!