Weaning children from prolonged enteral nutrition: A position paper

Autor: Véronique Abadie, Valeria Dipasquale, Mélanie Bué-Chevalier, Frédéric Gottrand, Amandine Rubio, Valérie Le Ru-Raguénès, D. Guimber, Audrey Van Malleghem, Katia Lecoeur, Aline Genevois-Peres, Haude Clouzeau, Sophie Dubedout, Sophie Baeckeroot, Marc Bellaiche, Irène Loras-Duclaux, Laila Rivard, Gaëlle Malécot-Le Meur, Audrey Lecoufle, Véronique Leblanc
Rok vydání: 2020
Předmět:
Zdroj: European journal of clinical nutrition. 76(4)
ISSN: 1476-5640
Popis: Enteral nutrition (EN) allows adequate nutritional intake in children for whom oral intake is impossible, insufficient or unsafe. With maturation and health improvements, most children ameliorate oral skills and become able to eat orally, therefore weaning from EN becomes a therapeutic goal. No recommendations currently exist on tube weaning, and practices vary widely between centres. With this report, the French Network of Rare Digestive Diseases (FIMATHO) and the French-Speaking Group of Paediatric Hepatology, Gastroenterology and Nutrition (GFHGNP) aim to develop uniform clinical practice recommendations for weaning children from EN. A multidisciplinary working group (WG) encompassing paediatricians, paediatric gastroenterologists, speech-language therapists, psychologists, dietitians and occupational therapists, was formed in June 2018. A systematic literature search was performed on those published from January 1, 1998, to April 30, 2020, using MEDLINE. After several rounds of e-discussions, relevant items for paediatric tube weaning were identified, and recommendations were developed, discussed and finalized. The WG members voted on each recommendation using a nominal voting technique. Expert opinion was applied to support the recommendations where no high-quality studies were available.
Databáze: OpenAIRE