Pediatric Feeding Disorder in Children With Short Bowel Syndrome
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Read the article on pubmed.ncbi.nlm.nih.gov ↗Article · Nov 2020 · 1 min read
In brief
In brief
This retrospective study of 28 pediatric SBS patients found universal feeding disorder prevalence at age 1, declining to 70% by age 4. Resolution correlated with NEC etiology and greater residual small bowel length, while vomiting history predicted persistent feeding difficulties requiring ongoing medical support.
Written by the GCMD Library team from the article.
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. 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 (PN), 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 (EN), 30.8%, 69.2%, 76.9% and 100.0% achieved this by 12, 24, 36, and 48 months, respectively.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 (NEC). 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 post-pyloric feeds were seen among patients with PFD compared to those without PFD.
Conclusion: PFD is prevalent in children with SBS. While prevalence decreases over time, children with PFD will continue to require more medical attention than children that do not.
DOI: 10.1097/MPG.0000000000002961