Titre :

Management of gastrointestinal and nutritional problems in children with neurological impairment: a survey of practice

Auteur(s) :

Romano, Claudio [Auteur]

Dipasquale, Valeria [Auteur]

Van Winckel, Myriam [Auteur]
Ghent University Hospital
Hulst, Jessie [Auteur]
The Hospital for sick children [Toronto] [SickKids]
Broekaert, Ilse J. [Auteur]

Bronsky, Jiri [Auteur]
University Hospital Motol [Prague]
Dall'oglio, Luigi [Auteur]
IRCCS Ospedale Pediatrico Bambino Gesù = Bambino Gesù Children’s Hospital
Mis, Natasa Fidler [Auteur]
University Medical Centre Ljubljana [Ljubljana, Slovenia] [UMCL]
Hojsak, Iva [Auteur]
Josip Juraj Strossmayer University of Osijek
Orel, Rok [Auteur]
University Medical Centre Ljubljana [Ljubljana, Slovenia] [UMCL]
Papadopoulou, Alexandra [Auteur]
University of Athens Medical School [Athens]
Schaeppi, Michela [Auteur]
Geneva University Hospital [HUG]
Thapar, Nikhil [Auteur]
Great Ormond Street Hospital for Children NHS Foundation Trust [London, UK] [GOSHC]
Wilschanski, Michael [Auteur]
Hadassah Hebrew University Medical Center [Jerusalem]
Sullivan, Peter B. [Auteur]
University of Oxford
gottrand, Fréderic [Auteur]
Institute for Translational Research in Inflammation - U 1286 [INFINITE]

Titre de la revue :

Journal of Pediatric Gastroenterology and Nutrition

Nom court de la revue :

J Pediatr Gastroenterol Nutr

Date de publication :

2020-12-16

ISSN :

1536-4801

Mot(s)-clé(s) :

enteral nutrition
paediatrics
nutrition
gastrointestinal diseases
cerebral palsy

Discipline(s) HAL :

Sciences du Vivant [q-bio]

Résumé en anglais : [en]

OBJECTIVE: The main aim of this study was to determine the impact on clinical practice of the first European Society of Gastroenterology, Hepatology, and Nutrition (ESPGHAN) position paper on the diagnosis and management ...
Lire la suite >OBJECTIVE: The main aim of this study was to determine the impact on clinical practice of the first European Society of Gastroenterology, Hepatology, and Nutrition (ESPGHAN) position paper on the diagnosis and management of nutritional and gastrointestinal problems in children with neurological impairment (NI). METHODS: In this pilot-study, a web-based questionnaire was distributed between November, 2019 and June, 2020, amongst ESPGHAN members using the ESPGHAN newsletter. Fifteen questions covered the most relevant aspects on nutritional management and gastrointestinal issues of children with NI. A descriptive analysis of responses was performed. RESULTS: A total of 150 health professionals from 23 countries responded to the survey. A considerable variation in clinical practice concerning many aspects of nutritional and gastrointestinal management of children with NI was observed. The most frequently used method for diagnosing oropharyngeal dysfunction was the direct observation of meals with or without the use of standardised scores (n = 103). Anthropometric measurements were the most commonly used tools for assessing nutritional status (n = 111). The best treatment for gastroesophageal reflux disease (GERD) was considered to be proton pump inhibitor therapy by most (n = 116) participants. Regarding tube feeding, nearly all respondents (n = 114) agreed that gastrostomy is the best enteral access to be used for long-term enteral feeding. Fundoplication was indicated at the time of gastrostomy placement especially in case of uncontrolled GERD. CONCLUSIONS: More studies are required to address open questions on adequate management of children with NI. Identifying knowledge gaps paves the way for developing updated recommendations and improving patient care.Lire moins >

Langue :

Anglais

Audience :

Internationale

Vulgarisation :

Non

Établissement(s) :

CHU Lille
Inserm
Université de Lille

Collections :

• Institut de Recherche Translationnelle sur l'Inflammation (INFINITE) - U1286

Date de dépôt :

2021-07-06T12:50:05Z
2024-02-01T09:08:02Z