Parents caring and sham-feeding their child born with Esophageal atresia at home while waiting for reconstructive surgery.

Autor: Tollne A; Department of Pediatric Surgery, Karolinska University Hospital, 171 76, Stockholm, Sweden., Öst E; Department of Pediatric Surgery, Karolinska University Hospital, 171 76, Stockholm, Sweden.; Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden., Nilsson T; Department of Pediatric Surgery, Karolinska University Hospital, 171 76, Stockholm, Sweden., Almström M; Department of Pediatric Surgery, Karolinska University Hospital, 171 76, Stockholm, Sweden.; Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden., Svensson JF; Department of Pediatric Surgery, Karolinska University Hospital, 171 76, Stockholm, Sweden. jan.f.svensson@ki.se.; Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden. jan.f.svensson@ki.se.
Jazyk: angličtina
Zdroj: Pediatric surgery international [Pediatr Surg Int] 2024 Sep 29; Vol. 40 (1), pp. 257. Date of Electronic Publication: 2024 Sep 29.
DOI: 10.1007/s00383-024-05839-1
Abstrakt: Purpose: For children with Esophageal atresia who have to wait for reconstructive surgery, long hospital stay, delayed introduction of oral feeds and hampered oro-motor function has traditionally been draw-backs for this treatment as the patients have minimal training of oro-motor function while waiting for surgery. In this paper, we present the concept of sham-feed at home awaiting reconstructive surgery with the aim to obliviate these problems. The aim was to describe the characteristics of patients with Esophageal atresia waiting for reconstructive surgery sham-feeding at home by their parents and further describe adverse events that arose.
Methods: The study is a retrospective descriptive single center study on all children with a delayed reconstruction of Esophageal atresia who was sham-fed by their parents at home before reconstructive surgery between January 2010 and January 2023 at the Karolinska University Hospital, Stockholm.
Results: Nine patients where home waiting for reconstructive surgery for a median of 72 days. No adverse events were reported related to the sham-feed procedure at home. The children had reconstructive surgery at a median 120 days of age. Five of the children ate full meals orally day 8-27 after surgery. Two children ate fully before 1 year after surgery. Two children had surgery less than 1 year ago and were not eating fully orally at the time of data collection.
Conclusion: Sham-feeding at home by the parents was safe and feasible with the benefits of a prolonged time out of hospital awaiting reconstructive surgery.
(© 2024. The Author(s).)
Databáze: MEDLINE
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