Home enteral nutrition in children: an 11-year experience with 416 patients

Background & aims: We report our experience of paediatric home enteral nutrition, as there is little detailed evidence published. Methods: All patients younger than 18 years commencing treatment between January 1990 and December 2000 were included in this retrospective study. Results: The study...

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Bibliographic Details
Published in:Clinical nutrition (Edinburgh, Scotland) Scotland), 2005-02, Vol.24 (1), p.48-54
Main Authors: Daveluy, Walter, Guimber, Dominique, Mention, Karine, Lescut, Dominique, Michaud, Laurent, Turck, Dominique, Gottrand, Frédéric
Format: Article
Language:English
Subjects:
Adolescent
Age Distribution
Biological and medical sciences
Child
Child Nutritional Physiological Phenomena
Child, Preschool
Children
Chronic Disease - therapy
Enteral nutrition
Enteral Nutrition - methods
Enteral Nutrition - statistics & numerical data
Female
Gastrostomy
Gastrostomy - methods
Home Care Services - statistics & numerical data
Home-based
Humans
Infant
Intubation, Gastrointestinal - methods
Male
Medical sciences
Metabolic diseases
Prevalence
Retrospective Studies
Time Factors
Treatment Outcome
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Summary:Background & aims: We report our experience of paediatric home enteral nutrition, as there is little detailed evidence published. Methods: All patients younger than 18 years commencing treatment between January 1990 and December 2000 were included in this retrospective study. Results: The study covered 416 children and adolescents, corresponding to a total of 243,844 days of home enteral nutrition (HEN). The mean (±SD) age of patients commencing treatment was 5.4±5.3 years (range 0.1–17.8). Indications were digestive disorders in 35% of patients, neurological and muscular disorders in 35%, malignancy in 11%, failure to thrive in 8%, and miscellaneous ailments in 9%. Enteral feeding comprised commercially available paediatric industrial diets in 36%, adult-type diet in 35% and infant formulas in 29%. Children received enteral feeding by nasogastric tube (53%), or gastrostomy (41%). A mechanical pump was used in 98% of the patients. The mean duration of treatment was 595±719 days. Conclusions: HEN can be used while treating a large group of chronic diseases of children. It can be started very early in life and is often prolonged over several years.
ISSN:0261-5614
1532-1983
DOI:10.1016/j.clnu.2004.07.004