Faculty Collaboration Database

Pediatric Feeding Disorder in Children With Short Bowel Syndrome. J Pediatr Gastroenterol Nutr 2021 Mar 01;72(3):442-445

Date

10/02/2020

Pubmed ID

33003167

DOI

10.1097/MPG.0000000000002961

Scopus ID

2-s2.0-85102090272 (requires institutional sign-in at Scopus site)   6 Citations

Abstract

OBJECTIVE: We aimed to characterize the prevalence of pediatric feeding disorder (PFD) in short bowel syndrome (SBS) and study factors contributing to the persistence of PFD.

METHODS: Single-center retrospective study of patients diagnosed with SBS at age 6 months or younger. Data were collected in 3-month intervals through age 2 years, and every 6 months through age 4 years. Demographic information, anthropometric data, and details regarding nutrition support were recorded and analyzed.

RESULTS: We reviewed 28 patients. Of the 21 patients who were weaned off parenteral nutrition, 57.1%, 81.0%, 90.5%, and 100.0% achieved this by 12, 24, 36, and 48 months of age, respectively. Of the 13 patients who were weaned off enteral nutrition, 30.8%, 69.2%, 76.9%, and 100.0% achieved this by 12, 24, 36, and 48 months, respectively.

DISCUSSION: The prevalence of PFD was 100.0%, 76.5%, 68.8%, and 70.0% at 1, 2, 3, and 4 years of age, respectively. All patients who exhibited resolution of PFD had an underlying etiology of necrotizing enterocolitis. Median small bowel percentage remaining was greater in patients who exhibited resolution of PFD compared to those who did not. Except for the group of patients seen at 4 years of age, a larger percentage of patients with vomiting/history of requirement of postpyloric feeds were seen among patients with PFD compared to those without PFD.

CONCLUSION: PFD is prevalent in children with SBS. Although prevalence decreases over time, children with PFD will continue to require more medical attention than children that do not.

Author List

Christian VJ, Van Hoorn M, Walia CLS, Silverman A, Goday PS

Author

Alan Silverman PhD Professor in the Pediatrics department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Child
Child, Preschool
Enteral Nutrition
Feeding and Eating Disorders
Humans
Infant
Infant, Newborn
Parenteral Nutrition
Retrospective Studies
Short Bowel Syndrome
Treatment Outcome