scholarly journals EDS-related Feeding Difficulties: Preventing the Placement of a Surgical Feeding Tube

JPGN Reports ◽  
2021 ◽  
Vol 3 (1) ◽  
pp. e147 ◽  
Author(s):  
Alexandra L. Kilgore ◽  
Juliette T. Hawa ◽  
Edwin Liu ◽  
Jaime Belkind-Gerson ◽  
Kourtney Kuss Santucci
Keyword(s):  
Feeding Tube ◽  
Feeding Difficulties

Feeding difficulties in neonates following cardiac surgery: determinants of prolonged feeding-tube use

2017 ◽  
Vol 27 (6) ◽  
pp. 1203-1211 ◽  
Author(s):  
Elissa B. McKean ◽  
Nadine A. Kasparian ◽  
Shweta Batra ◽  
Gary F. Sholler ◽  
David S. Winlaw ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Early Recognition ◽  
Tube Feeding ◽  
Health Resources ◽  
Feeding Tube ◽  
Resource Utilisation ◽  
Future Research ◽  
Genetic Syndrome ◽  
Feeding Difficulties ◽  
Palliative Procedure

AbstractAimThe aims of this study were to examine the prevalence and potential correlates of feeding difficulties in infants who underwent cardiac surgery in the neonatal period and to investigate resource utilisation by infants with feeding difficulties.MethodsAll neonates who underwent their first cardiac surgery at the Heart Centre for Children, The Children’s Hospital at Westmead, between January and December, 2009 were included. Demographic, preoperative, intraoperative, and postoperative data were collected via electronic medical records. For the purpose of this study, feeding difficulty was defined as the requirement for ongoing tube feeding at the time of discharge home or transfer to another hospital.ResultsOut of a total of 79 neonates, 24 (30%) were discharged home or transferred to another hospital with a feeding tube. Feeding difficulties were associated with the presence of a genetic syndrome (p<0.0001), assisted feeding preoperatively (odds ratio (OR)=4.4, p=0.03), and having a palliative procedure before biventricular repair (OR=5.1, p=0.02). Infants with feeding difficulties had significantly more reviews by speech pathologists (M=5.9, SD=7.9), dieticians (M=5.9, SD=5.4), and cardiac clinical nurse consultants (M=1.2, SD=1.4) compared with those without feeding difficulties.ConclusionsThis study identified factors that can be used in the early recognition of infant feeding difficulties, to help guide the direction of limited health resources, as well as being focal points for future research and clinical practice improvement.

Feeding outcomes after paediatric cardiothoracic surgery: a retrospective review

2021 ◽  
pp. 1-9
Author(s):  
Robert Hill ◽  
Ching S. Tey ◽  
Calvin Jung ◽  
Robert Monfort ◽  
Brian Pettitt-Schieber ◽  
...  
Keyword(s):  
Length Of Stay ◽  
Congenital Heart ◽  
Heart Surgery ◽  
Retrospective Chart Review ◽  
Feeding Tube ◽  
Congenital Heart Surgery ◽  
Feeding Difficulties ◽  
Included Patient ◽  
Management Protocol ◽  
Language Pathology

Abstract Background: Feeding difficulty is a known complication of congenital heart surgery. Despite this, there is a relative sparsity in the available data regarding risk factors, incidence, associated symptoms, and outcomes. Methods: In this retrospective chart review, patients aged 0–18 years who underwent congenital heart surgery at a single institution between January and December, 2017 were reviewed. Patients with feeding difficulties before surgery, multiple surgeries, and potentially abnormal recurrent laryngeal nerve anatomy were excluded. Data collected included patient demographics, feeding outcomes, post-operative symptoms, flexible nasolaryngoscopy findings, and rates of readmission within a 1-year follow-up period. Multivariable regression analyses were performed to evaluate the risk of an alternative feeding plan at discharge and length of stay. Results: Three-hundred and twenty-six patients met the inclusion criteria for this study. Seventy-two (22.09%) were discharged with a feeding tube and 70 (97.22%) of this subgroup were younger than 12 months at the time of surgery. Variables that increased the risk of being discharged with a feeding tube included patient age, The Society of Thoracic Surgeons–European Association for Cardio-Thoracic Surgery score, procedure group, aspiration, and reflux. Speech-language pathology was the most frequently utilised consulting service for patients discharged with feeding tubes (90.28%) while other services were not frequently consulted. The median length of stay was increased from 4 to 10 days for patients who required an enteral feeding tube at discharge. Discussion: Multidisciplinary management protocol and interventions should be developed and standardised to improve feeding outcomes following congenital heart surgery.

Pilot Study of Pharyngoesophageal Dysmotility Mechanisms in Dysphagic Infants of Diabetic Mothers

2018 ◽  
Vol 36 (12) ◽  
pp. 1237-1242 ◽  
Author(s):  
Manish B. Malkar ◽  
Sreekanth K. Viswanathan ◽  
Sudarshan R. Jadcherla
Keyword(s):  
Pilot Study ◽  
Gastroesophageal Junction ◽  
Feeding Tube ◽  
Upper Esophageal Sphincter ◽  
Feeding Difficulties ◽  
Infants Of Diabetic Mothers ◽  
Pharyngeal Airway ◽  
Swallowing Difficulties ◽  
Esophageal Sphincter ◽  
Diabetic Mothers

Objective Swallowing difficulties are common in infants of diabetic mothers (IDM) and mechanisms are unclear. We tested the hypothesis that pharyngoesophageal motility reflexes are distinct in IDMs compared with healthy controls in a pilot study. Study Design Basal and adaptive pharyngoesophageal motility characteristics of 20 dysphagic IDMs and 10 controls were studied using purpose-built micromanometry system. Results During basal swallows, IDMs had lower frequency of deglutition apneas (62.5 vs. 95.4%) and longer active upper esophageal sphincter (UES) relaxation duration (0.8 ± 0.1 vs. 0.4 ± 0.1 second), whereas during adaptive swallows, IDMs had longer response latency to esophageal peristalsis onset (24.4 ± 2.1 vs. 9.7 ± 2.9 seconds) and longer lower esophageal sphincter nadir duration (28.9 ± 3.2 vs. 12.9 ± 4.6) (all p < 0.05) compared with controls. Nine in the IDM group needed gastrostomy feeding tube at hospital discharge versus none in controls. Conclusion Feeding difficulties in IDMs are likely to be associated with maladapted or maldeveloped vagal neuropathy mechanisms manifesting as dysregulation of pharyngeal–airway interactions, longer active UES relaxation response, delays in the activation of esophageal contractile apparatus during peristalsis, and prolonged inhibition at the gastroesophageal junction.

Weaver Syndrome: A Case Without Early Overgrowth and Review of the Literature

PEDIATRICS ◽  
1991 ◽  
Vol 88 (6) ◽  
pp. 1106-1111
Author(s):  
Maria A. Ramos-Arroyo ◽  
David D. Weaver ◽  
Evelyn R. Banks
Keyword(s):  
Growth Characteristic ◽  
Caloric Intake ◽  
Female Child ◽  
Feeding Tube ◽  
Respiratory Arrest ◽  
Feeding Difficulties ◽  
Weaver Syndrome ◽  
Gastric Feeding ◽  
Inadequate Nutrition ◽  
The Brain

A female child with Weaver syndrome is described. She did not show the excessive growth characteristic of this syndrome until after adequate caloric intake was achieved by feeding through a gastric feeding tube. Her inadequate nutrition was a result of feeding difficulties during infancy. In addition, she had recurrent pulmonary infections, apneic spells, and severe developmental delay. She died at 16 months of sepsis, congestive heart failure, and respiratory arrest. The autopsy revealed marked atrophy of the brain and cardiac ventricular hypertrophy. Most of the brain changes were thought to be from hypoxia.

Cola Beverages: Clinical Uses versus Adverse Effects

2019 ◽  
Vol 15 (2) ◽  
pp. 130-139
Author(s):  
Ehsan T. Moghaddam ◽  
Ali Tafazoli
Keyword(s):  
Adverse Effects ◽  
Health Risks ◽  
Feeding Tube ◽  
Evidence Based ◽  
Journal Articles ◽  
Healthcare Settings ◽  
Pubmed Database ◽  
Excessive Consumption ◽  
Points Of View ◽  
Medical Articles

Background: Excessive consumption of cola beverages is accompanied by numerous public health risks. But besides these well-known adverse effects, recently, several medical articles have been published that show some indications for cola beverages in clinical practice like resolution of gastrointestinal or feeding tube obstructions, increasing bioavailability and palatability of other medications, rehydration and other uses in healthcare settings. These approaches are not without shortcomings and complications. Methods: In this systematic review we tried to explore these new uses for practitioners and also reemphasize on the most evidence-based complications of cola consumption like bone loss and metabolic and cardiovascular adverse effects in cases of misuse and overuse from both clinical and nutritional points of view via searching the PubMed database. Results: We chose 145 journal articles from the most relevant ones plus 30 extra references and categorized their topics in two classes of medical uses and adverse effects. Conclusion: It could be stated that cola beverages have demonstrated interesting uses and benefits in medicine but their use should be regulated as strict as possible.

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