Preview

Meditsinskiy sovet = Medical Council

Advanced search

Enteral nutrition in children with chronic diseases: optimal delivery method

https://doi.org/10.21518/2079-701X-2020-18-87-93

Abstract

Children with chronic diseases, such as neurological, neuromuscular, respiratory, in particular cystic fibrosis, hereditary, metabolic, oncological, and congenital heart defects often suffer from malnutrition, often accompanied by stunted growth. The main reason leading to a change in nutritional status is inadequate intake of nutrients and energy with increased nutrient requirements or various eating problems. Lack of nutrient status correction and continued malnutrition contribute to major body changes that worsen disease progression, increase the risk of death and reduce patients’ quality of life. To fully cover the body’s nutrient needs, the use of specialized enteric nutrition is a priority. Sufficient clinical experience has been accumulated, confirming the high effectiveness of the use of enteral nutrition formulas in children with malnutrition through gastrointestinal feeding. It has been proved that this method of delivery of food is safe for patients, improves nutritional status, simplifies care, as well as reduces the duration of hospitalization, the frequency of respiratory and infectious complications and, consequently, the cost of treatment and rehabilitation. The article presents the assortment of “Nutriсia” formulas for enteral nutrition, which allows a differentiated approach to nutrition of patients depending on the clinical situation. Nutritional problems in patients with neurological disorders and ways of their correction are described in detail. The advantage of using domestic enteric nutrition through feeding tube for the correction of nutritional deficiencies. Timely assigned nutritional support is a highly effective method of correction of nutritional deficiencies or preventing their development in children with chronic diseases.

About the Author

O. N. Komarova
Federal State Autonomous Educational Institution of Higher Education “Pirogov Russian National Research Medical University” of the Ministry of Health of the Russian Federation
Russian Federation

Cand. of Sci. (Med.), dietitian, gastroenterologist, Separate Business Unit “Research Clinical Institute of Pediatrics named after Academician Yu.E. Veltischev”

2, Taldomskaya St., Moscow, 125412, Russia



References

1. Goulet O. Growth faltering: setting the scene. Eur J Clin Nutr. 2010;64(S1):2–4. doi: 10.1038/ejcn.2010.38.

2. Sobotka L., Soeters Р.В. Basics in clinical nutrition: Metabolic response to injury and sepsis. E­SPEN, the European e­Journal of Clinical Nutrition and Metabolism. 2009;4:e1–e3. Available at: https://clinicalnutritionespen.com/article/S1751-4991(08)00062-0/pdf.

3. Kuperminc M.N., Stevenson R.D. Growth and nutrition disorders in children with cerebral palsy. Dev Disabil Res Rev. 2008;14(2):137–146. doi: 10.1002/ddrr.14.

4. Vickers D.W., Maynard L.C. Balancing biomedical, care, and support needs in the technology dependent child. Arch Dis Child. 2006;91(6):458–460. doi: 10.1136/adc.2006.095679.

5. Kilpinen-Loisa P., Pihko H., Vesander U., Paganus A., Ritanen U., Mäkitie O. Insufficient energy and nutrient intake in children with motor disability. Acta Paediatr. 2009;98(8):1329–1333. doi: 10.1111/j.1651-2227.2009.01340.x.

6. Romano C., van Wynckel M., Hulst J., Broekaert I., Bronsky J., Dall’Oglio L. et al. European Society for Paediatric Gastroenterology, Hepatology and Nutrition guidelines for the evaluation and treatment of gastrointestinal and nutritional complications in children with neurological impairment. J Pediatr Gastroenterol Nutr. 2017;65(2):242–264. doi: 10.1097/MPG.0000000000001646.

7. Pedrón-Giner C., Navas-López V.M., Martínez-Zazo A.B., Martínez-Costa C., Sánchez-Valverde F., Blasco-Alonso J. et al. Analysis of the Spanish national registry for pediatric home enteral nutrition (NEPAD): Implementation rates and observed trends during the past 8 years. Eur J Clin Nutr. 2013;67(4):318–323. doi: 10.1038/ejcn.2013.8.

8. Kuperminc M.N., Gottrand F., Samson-Fang J., Arvedson J., Bell K., Craig G.M., Sullivan P.B. Nutritional management of children with cerebral palsy: a practical guide. Eur J Clin Nutr. 2013;67(S2):21–23. doi: 10.1038/ejcn.2013.227.

9. Penagini F., Mameli C., Fabiano V., Brunetti D., Dilillo D., Zuccotti G.V. Dietary intakes and nutritional issues in neurologically impaired children. Nutrients. 2015;7(11):9400–9415. doi: 10.3390/nu7115469.

10. Fung E.B., Samson-Fang L., Stallings V.A., Conaway M., Liptak G., Henderson R.C. et al. Feeding dysfunction is associated with poor growth and health status in children with cerebral palsy. J Am Diet Assoc. 2002;102(3):361–373. doi: 10.1016/s0002-8223(02)90084-2.

11. Benfer K.A., Weir K.A., Bell K.L., Ware R.S., Davies P.S.W., Boyd R.N. Clinical signs suggestive of pharyngeal dysphagia in preschool children with cerebral palsy. Res Dev Disabil. 2015;38:192–201. doi: 10.1016/j.ridd.2014.12.021.

12. Sullivan P.B., Juszczak E., Bachlet A.M.E., Lambert B., Vernon-Roberts A., Grant H.W. et al. Gastrostomy tube feeding in children with cerebral palsy: a prospective, longitudinal study. Dev Med Child Neurol. 2005;47(2):77–85. doi: 10.1017/s0012162205000162.

13. Dahlseng M.O., Finbråten A.-K., Júliússon P.B., Skranes J., Andersen G., Vik T. Feeding problems, growth and nutritional status in children with cerebral palsy. Acta Paediatr. 2012;101(1):92–98. doi: 10.1111/j.1651-2227.2011.02412.x.

14. Braegger C., Decsi T., Dias J.A., Hartman C., Kolacek S., Koletzko B. et al. Practical approach to paediatric enteral nutrition: a comment by the ESPGHAN committee on nutrition. J Pediatr Gastroenterol Nutr. 2010;51(1):110–122. doi: 10.1097/MPG.0b013e3181d336d2.

15. Bradley G.M., Carson K.A., Leonard A.R., Mogayzel P.J., Oliva-Hemker M. Nutritional outcomes following gastrostomy in children with cystic fibrosis. Pediatr Pulmonol. 2012;47(8):743–748. doi: 10.1002/ppul.22507.

16. Kapadia M.Z., Joachim K.C., Balasingham C., Cohen E., Mahant S., Nelson K. et al. A Core Outcome Set for Children With Feeding Tubes and Neurologic Impairment: A Systematic Review. Pediatrics. 2016;138(1):e20153967. doi: 10.1542/peds.2015-3967.

17. Balogh B., Kovács T., Saxena A.K. Complications in children with percutaneous endoscopic gastrostomy (PEG) placement. World J Pediatr. 2019;15(1):12–16. doi: 10.1007/s12519-018-0206-y.

18. Craig G.M., Carr L.J., Cass H., Hastings R.P., Lawson M., Reilly S. et al. Medical, surgical, and health outcomes of gastrostomy feeding. Dev Med Child Neurol. 2006;48(5):353–360. doi: 10.1017/S0012162206000776.

19. Dipasquale V., Catena M.A., Cardile S., Romano C. Standard Polymeric Formula Tube Feeding in Neurologically Impaired Children: A Five-Year Retrospective Study. Nutrients. 2018;10(6):684. doi: 10.3390/nu10060684.

20. Martínez-Costa C., Calderón C., Gómez-López L., Borraz S., Crehuá-Gaudiza E., Pedrón-Giner C. Nutritional Outcome in Home Gastrostomy-Fed Children with Chronic Diseases. Nutrients. 2019;11(5):956. doi: 10.3390/nu11050956.

21. Stallings V.A., Stark L.J., Robinson K.A., Feranchak A.P., Quinton H. Evidence-based practice recommendations for nutrition-related management of children and adults with cystic fibrosis and pancreatic insufficiency: results of a systematic review. J Am Diet Assoc. 2008;108(5):832–839. doi: 10.1016/j.jada.2008.02.020.

22. Matel J.L., Milla C.E. Nutrition in cystic fibrosis. Semin Respir Crit Care Med. 2009;30(5):579–586. doi: 10.1055/s-0029-1238916.

23. Lai H.J., Shoff S.M., Farrell P.M. Recovery of birth weight z score within 2 years of diagnosis is positively associated with pulmonary status at 6 years of age in children with cystic fibrosis. Pediatrics. 2009;123(2):714–722. doi: 10.1542/peds.2007-3089.

24. Peterson M.L., Jacobs D.R. Jr., Milla C.E. Longitudinal changes in growth parameters are correlated with changes in pulmonary function in children with cystic fibrosis. Pediatrics. 2003;112(3 Pt 1):588–592. doi: 10.1542/peds.112.3.588.

25. Arrowsmith F.E., Allen J.R., Gaskin K.J., Sommerville H., Birdsall J., Barzi F., O’Laughlin E.V. Nutritional rehabilitation increases the resting energy expenditure of malnourished children with severe cerebral palsy. Dev Med Child Neurol. 2012;54(2):170–175. doi: 10.1111/j.1469-8749.2011.04166.x.

26. Escuro A.A. Blenderized tube feeding: suggested guidelines to clinicians. Pract Gastroenterol. 2014;136:58–66. Available at: https://med.virginia.edu/ginutrition/wp-content/uploads/sites/199/2014/06/Parrish-Dec-14.pdf.

27. Borghi R., Araujo T.D., Viera R.I.A., de Souza T.T., Waitzberg D.L. ILSI task force on enteral nutrition; estimated composition and costs of blenderized diets. Nutr Hosp. 2013;28(6):2033–2038. Available at: https://pubmed.ncbi.nlm.nih.gov/24506385.

28. Hurt R.T., Edakkanambeth Varayil J., Epp L.M., Pattinson A.K., Lammert L.M., Lintz J.E., Mundi M.S. Blenderized tube feeding use in adult home enteral nutrition patients: A cross-sectional study. Nutr Clin Pract. 2015;30(6):824–829. doi: 10.1177/0884533615591602.

29. Orel A., Homan M., Blagus R., Benedik E., Orel R., Fidler N. et al. Nutrition of Patients with Severe Neurologic Impairment. Radiol Oncol. 2017;52(1):83–89. doi: 10.1515/raon-2017-0060.

30. Sullivan P.B. Gastrointestinal disorders in children with neurodevelopmental disabilities. Dev Disabil Res Rev. 2008;14(2):128–136. doi: 10.1002/ddrr.18.

31. Gomes C.A. Jr., Andriolo R.B., Bennett C., Lustosa S.A., Matos D., Waisberg D.R., Waisberg J. Percutaneous endoscopic gastrostomy versus nasogastric tube feeding for adults with swallowing disturbances. Cochrane Database Syst Rev. 2015;2015(5):CD008096. doi: 10.1002/14651858.CD008096.pub4.

32. Avitsland T.L., Faugli A., Pripp A.H., Malt U.F., Bjørnland K., Emblem R. Maternal psychological distress and parenting stress after gastrostomy placement in children. J Pediatr Gastroenterol Nutr. 2012;55(5):562–566. doi: 10.1097/MPG.0b013e31826078bd.


Review

For citations:


Komarova ON. Enteral nutrition in children with chronic diseases: optimal delivery method. Meditsinskiy sovet = Medical Council. 2020;(18):87-93. (In Russ.) https://doi.org/10.21518/2079-701X-2020-18-87-93

Views: 584


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2079-701X (Print)
ISSN 2658-5790 (Online)