Sasha Gorrell, Siena S Vendlinski, Arianna S Thompson, Amanda E Downey, Rachel Kramer, Lisa Hail, Sharon Clifton, Sarah Forsberg, Erin E Reilly, Elizabeth Saunders, Sara M Buckelew, Daniel Le Grange
BACKGROUND: No guidelines currently exist that represent a standardization of care for Avoidant/Restrictive Food Intake Disorder (ARFID) on an inpatient service. Unique features of this diagnosis (e.g., sensory sensitivity contributing to involuntary emesis) suggest that established protocols that were developed for anorexia nervosa might be less effective for adolescents with ARFID. To inform improved inpatient medical stabilization and care for these patients, we first provide an overview of clinical characteristics for patients with ARFID who presented to a pediatric hospital for inpatient eating disorder care...
September 22, 2023: Journal of Eating Disorders
Jeong Ho Seo, Inwook Lee, Saehan Choi, Seung Yang, Yong Joo Kim
A 14-year-old girl was admitted to the emergency department for excessive bile-containing vomiting and severe abdominal pain. She had been healthy until she intentionally lost 25 kg over a 6-month period. Thick, bloody bile-mixed food particles were drained from the stomach through a nasogastric tube. Abdominal computed tomography revealed huge stomach dilatation with extensive gastric pneumatosis, possible near rupture, acute pancreatitis, and a very narrow third of the duodenum, indicating superior mesenteric syndrome...
September 2023: Pediatric Gastroenterology, Hepatology & Nutrition
Bikila Lencha, Megersso Urgessa, Feyyissa Lemessa, Zenebe Minda, Girma Beressa, Gemechu Ganfure, Sisay Degno
OBJECTIVE: To assess the treatment outcomes of severe acute malnutrition (SAM) and its associated factors in children aged 6-59 months in Bale Zone, South East Ethiopia. DESIGN: A multi-institutionally-based, retrospective cross-sectional study design was conducted, based on records from September 11, 2014, to September 11, 2017. Simple random sampling was used to select the records. A pre-tested extraction format was used to collect information from the logbook and patient records...
September 16, 2023: Journal of Pediatrics
Zainab Bubakr Hamad Zubi, Ahmad Fadzil Bin Abdullah, Muhd Alwi Bin Muhd Helmi, Taufiq Hidayat Hasan, Noraida Ramli, Adam Al-Anas Bin Mat Ali, Mossad Abdelhak Shaban Mohamed
About 10% of newborns require some degree of assistance to begin their breathing, and 1% necessitates extensive resuscitation. Sick neonates are exposed to a number of invasive life-saving procedures as part of their management, either for investigation or for treatment. In order to support the neonates with the maximum possible benefits and reduce iatrogenic morbidity, health-care providers performing these procedures must be familiar with their indications, measurements, and potential complications. Hence, the aim of this review is to summarise ten of the main neonatal intensive care procedures with highlighting of their indications, measurements, and complications...
2023: International Journal of Pediatrics
Trevena Moore, Cara Soccorso, Jason Fogler, Gretchen Carroll, Tanya Froehlich, Sarah S Nyp
Maria is an 8-year-old girl with Down syndrome, described by her mother as an affectionate and social child, who was referred to developmental-behavioral pediatrics by her pediatrician because of increasing aggressive behaviors and inattention.Maria was 5 pounds at birth, delivered full-term by cesarean section, and hospitalized for 1 month after delivery because of feeding issues that required a nasogastric (NG) tube. Maternal age was 24 years, pregnancy was uncomplicated, and there were no reported prenatal exposures to substances...
September 1, 2023: Journal of Developmental and Behavioral Pediatrics: JDBP
Barbara Borsani, Giacomo Biganzoli, Francesca Penagini, Alessandra Bosetti, Erica Pendezza, Veronica Perico, Elia Biganzoli, Elvira Verduci, Gian Vincenzo Zuccotti
INTRODUCTION: Energy requirements are difficult to estimate in children with cerebral palsy (CP). Resting energy expenditure (REE), necessary to implement personalized nutritional interventions, is most commonly estimated using prediction formulae since indirect calorimetry, the reference method, is not available in all nutrition units. The aims of the present study were: (1) to evaluate the accuracy of the most commonly used REE prediction formulae developed for healthy children, in children with CP; (2) to assess the accuracy of the REE population-specific formula for CP children proposed in our preliminary report; (3) to develop new population-specific methods...
2023: Frontiers in Pediatrics
Jun Chen, Chaomei Huang, Xiaoling Fang, Lijun Liu, Yiheng Dai
Background: Orogastric (OG) and nasogastric (NG) tubes are frequently used in the NICU. Obtaining a relatively accurate estimated length before insertion could significantly reduce complications. While previous studies have mainly focused on the NG tube, OG tubes are more commonly used in China. Purpose: The objective was to determine whether there were differences in the rate of accurate placement among the adapted nose-ear-xiphoid (NEX) method, nose-ear-midway to the umbilicus (NEMU) method, and weight-based (WB) equation in estimating the OG tube insertion distance...
August 1, 2023: Neonatal Network: NN
Aleksandra Mikołajczak, Katarzyna Kufel, Joanna Żytyńska-Daniluk, Magdalena Rutkowska, Renata Bokiniec
Greater awareness of possible iatrogenic esophageal perforation (EP) is needed. Though rare, EP is a legitimate health risk as it may lead to long-term morbidities. This study presents and discusses iatrogenic EP in a subset of preterm infants. Using radiographic images, we study and describe the consequences of the orogastric/nasogastric tube position (in radiographic images). We analyze the possible influence of histological chorioamnionitis on the development of esophageal perforation. This retrospective study examines the hospital records of 1149 preterm infants, 2009-2016, with very low birth weight (VLBW) and iatrogenic EP, comparing mortalities and morbidities between the two groups of preterm infants who had birth weights (BWs) of less than 750 g and were less than 27 weeks gestation age at birth: one group with iatrogenic esophageal perforation (EP group) and one group without perforation (non-EP group-the control group)...
August 16, 2023: Children
David I F Wands, Laura Gianolio, David C Wilson, Richard Hansen, Iain Chalmers, Paul Henderson, Konstantinos Gerasimidis, Richard K Russell
BACKGROUND: Exclusive enteral nutrition (EEN) is the recommended first-line induction treatment in pediatric patients with active luminal Crohn's disease (CD). We aimed to provide a nationwide overview of evolving EEN practices during an era of increasing biologic use. METHODS: We analyzed a prospectively identified nationwide cohort of newly diagnosed pediatric patients with CD in Scotland between January 1, 2015, and June 30, 2022. Patients who received EEN for any indication were divided into 6-monthly epochs and examined over time...
August 24, 2023: Inflammatory Bowel Diseases
Lisa G Dell, Diane L Spatz
This case study presents a mother who continued tandem breastfeeding throughout the acute admission of her critically ill newborn. Her younger child, the subject of this case report was admitted to our hospital with septic shock and progressing bullous scalp lesions. The infant had streptococcal toxic shock syndrome and necrotizing fasciitis of the scalp due to streptococcus pyogenes. The infant required immediate life-sustaining interventions, followed by weekly surgical procedures which meant the infant had brief periods of intravenous nutrition surrounding the time of anesthesia administration...
August 4, 2023: Journal of Pediatric Nursing
Shimmaa Mansour Moustafa Mohamed, Gihan Mohamed Mohamed Salem, Raghad Abdulrahman Almushawah
OBJECTIVES: The study assesses pediatric nurses' knowledge and routine practices in relation to nasogastric tube (NGT) placement and verification procedure. By investigating these aspects, the study seeks to contribute to the enhancement of patient safety and the improvement of pediatric nursing care in the context of NGT procedures by ensuring accurate NGT placement and minimizing complications in pediatric patients. The study assesses pediatric nurses' knowledge and practices of inserting and confirming the placement of NGTs among pediatric patients in the Asir Province, Saudi Arabia...
June 19, 2023: Nutrition
Chelsea Kotch, Caitlin W Elgarten, Jessica McWhorter, Cynthia Schmus, Darielle Wilhelm, Yimei Li, Jane E Minturn
Young children undergoing treatment with intensive chemotherapy for high-grade central nervous system (CNS) tumors are at risk for malnutrition, yet no guidelines exist for the placement of enteral tubes. Prior studies evaluated the impact of proactive gastrostomy tube (GT) placement with a narrow scope of outcomes, such as weight. To examine the impact of proactive GT on comprehensive treatment outcomes, we performed a single-center, retrospective study of children younger than 60 months of age with high-grade CNS tumors treated per CCG99703 or ACNS0334 between 2015 and 2022...
June 8, 2023: Journal of Pediatric Hematology/oncology
Hisato Kobayashi, Eri Ogawa
No abstract text is available yet for this article.
2023: Pediatrics International: Official Journal of the Japan Pediatric Society
Judy-April Murayi, Elizabeth Evenson, Debbie Verkin-Siebert, Miranda Fisher, Samantha Bartosiewicz, Morgan Baade, Kaylee Manville, Praveen S Goday
BACKGROUND: There has been a renewed focus on offering commercial formulas made with real-food ingredients because of their perceived health benefits, such as improved feeding tolerance and gut health. Children receiving enteral nutrition through these formulas often are fed via feeding pumps. Because these formulas vary in thickness, we aimed to explore the relationship between formula thickness and prescribed formula delivery via feeding pumps. We hypothesized that inaccurate volumes of commercial blenderized formula (CBF) are delivered via feeding pumps and that these inaccuracies are directly proportional to the thickness of the formula...
June 5, 2023: Nutrition in Clinical Practice
Marah A Daibes, Rawan I Qedan, Samah W Al-Jabi, Amer A Koni, Sa'ed H Zyoud
BACKGROUND: Different pharmaceutical characteristics of the dosage form (DF) have a direct effect on how easily oral solid medicine is swallowed. The practice of crushing tablets or opening the capsule occurs daily in the hospital, and most nurses are unknowledgeable regarding these issues. Coadministration of medications with food can cause changes in drug absorption and lead to an alteration in gastrointestinal motility, which can cause an unexpected effect on the dissolution and absorption of the drug...
June 5, 2023: Journal of Health, Population, and Nutrition
Kai Zhu, Jingjing He, Tiantuo Chen, Xiyang Yu, Xiaorui He, Yilin Su
PURPOSE: To investigate the clinical value of enhanced recovery after surgery (ERAS) protocols for children with neuroblastoma (NB). METHODS: This retrospective review was conducted by using the electronic medical records of 48 children with retroperitoneal localized NB who underwent tumor resection (surgery for treatment, not diagnosis) between October 2016 and September 2021. The ERAS protocols for NB excision were implemented in 28 children (ERAS group), while 20 children received traditional care (TRAD group)...
June 1, 2023: Pediatric Surgery International
Maryanne Bourque, Dawn Marie E Recigno, Katie Preedy
Purpose: Discharging infants from the NICU is complex, requiring the coordination of multiple aspects of care. Patient follow-up includes transferring medical care to primary care providers (PCP) who initially may have to rely on parents/caregivers for details about the child's history and current needs. Improving communication between the NICU and primary care offices within this pediatric health system was a goal of the organization, especially as value-based care was launched. Design: A pilot program was introduced in which families, PCP, and NICU providers for medically complex infants were offered the opportunity to participate in video conference calls...
June 1, 2023: Neonatal Network: NN
James Evans, Dan Green, Faith Gibson, Graeme O'Connor, Julie Lanigan
BACKGROUND & AIMS: The intensive conditioning regimens administered during bone marrow transplant (BMT) frequently cause mucositis, gastrointestinal toxicity and reduced oral intake. Children are consequently at risk of malnutrition. First-line nutrition support is recommended as enteral nutrition (EN). Nasogastric tube (NGT) is the mainstay for administration. Gastrostomies provide an alternative, but there is limited evidence of their efficacy and safety in paediatric BMT. This study aimed to compare enteral tube complications and nutritional and clinical outcomes between children with a gastrostomy versus NGT throughout BMT...
June 2023: Clinical Nutrition ESPEN
Erica Chang, Dorothy Rowe, Ashish Patel, Brad Pasternak
Necrotizing enterocolitis (NEC) is a gastrointestinal condition usually found in premature neonates. Our case involves a full-term, 3-month-old male who was found to have pneumatosis after surgical repair of congenital cardiac defects. After cessation of enteral feeds, nasogastric tube decompression, and broad-spectrum antibiotics, breast milk was reintroduced 8 days after his procedure. Hematochezia developed, but repeat abdominal X-rays were normal with benign abdominal examinations, stable vital signs, and improved laboratory findings...
May 2023: JPGN reports
Tin Bo Nicholas Lam, Lauren Sussman, Benjamin Infantino
Esophageal thermal injury (ETI) is an uncommon occurrence in both children and adults. Therefore, little is known about the diagnosis and clinical course of patients suffering from these injuries. We present the case of an 11-year-old female with macrocephaly capillary malformation syndrome and developmental delay suffering from ETI after ingestion of a piece of hot butternut squash. Endoscopy revealed linear, white plaques consistent with thermal burns. Management involved respiratory support, local and systemic analgesia, antibiotics, and nasogastric tube feedings...
February 2023: JPGN reports
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