Focus
Tempi e modalitŕ di prevenzione della malnutrizione ospedaliera: il bambino cerebroleso
MALNUTRITION IN CHILDREN WITH SNC DISORDERS
A. Tedeschi
Maggio 2000 - pagg. 296 -299
Abstract
The prevalence of deglutition problems in patients with SNC disorders is high, yet often underestimated.
About 50% of these patients develop severe malnutrition and suffer from acute
respiratory problems. Enteral feeding, through nasogastric tube or percutaneous enteric
gastrostomy (PEG), is successful in most cases in ensuring adequate nutrition. However, the
efficacy of compensatory techniques such as appropriate posturing during meals should be
first assessed before starting artificial feeding.
Parole chiave
Suggerite dall'AI
Classificazione MeSH
Bibliografia
1. Reilly S, Skuse D, Poblete X. Prevalence
of feeding problems and oral-motor dysfunction
in children with cerebral palsy. A community
survey. J Pediatr 1996;129:877-82.
2. Couriel JM, Bisset R, et al. Assessment of feeding problems in neurodevelopmental handicap: a team approach. Arch Dis Child 1993;69:609-13.
3. Tedeschi A. Epidemiology of Gastrointestinal Problems in Children with Neurodevelopmental Handicap. Comunicazione al “First International Symposium on Pediatric NeuroGastroenterology”. Capri, settembre, 1997.
4. Ramsay M, Gisel EG, Boutry M. Non-organic failure to thrive: growth failure secondary to feeding-skills disorders. Dev Med Child Neurol 1993;35:285-97.
5. Wolf LS, Glass RP. Problem-Driven Models, Multidisciplinary Assessment of Infant Feeding. In: Feeding and Swallowing Disorders in Infancy Assessment and Management. Therapy Skill Builders Ed. 555 Academic Court San Antonio, Texas, 1992:159-206.
6. Patrick J, Boland M, et al. Rapid correction of wasting in children with cerebral palsy. Dev Med Child Neurol 1986;28:734-9.
7. Sanders KD, Cox K, et al. Growth response to enteral feeding by children with cerebral palsy. JPEN 1990;14:23-6.
8. Darwish H. Living with cerebral palsy and tube feeding: easier to feed but at what cost? J Pediatr 1999;135:272-3.
9. Hill ID, Mann MD. Use of oral gentamicin, metronidazole, and cholestiramine in the treatment of severe resistant diarrhea in infants. J Pediatr 1986;77:447-81.
10. Benkov KJ. When “Buttoning Up” Is Not Sound Advice. J Pediatr Gastroenterol Nutr 1993;17:358-60.
11. Strauss D, Kastener T, et al. Tubefeeding and Mortality in Children with Severe Disabilities and Mental Retardation. Pediatrics 1997;99:358-62.
12. Sullivan PB. Is Tube-Feeding in Disabled Children Associated with excess Mortality? J Pediatr Gastroentrol Nutr 1998;27:240-1.
13. Fried MD, Khoshoo V, et al. Decrease in gastric emptying time and episodes of regurgitation in children with spastic quadriplegia fed a whey-based formula. J Pediatr 1992; 120:569-72.
14. Khoshoo V, Zembo M, et al. Incidence of Gastroesophageal reflux with Whey and Casein- Based formulas in Infants and in Children with Severe Neurological Impairment. J Pediatr Gastroenterol Nutr 1996;22:48-55.
15. Smith SW, Camfield C, et al. Living cerebral palsy and tube feeding: A population-based follow-up study. J Pediatr 1999;135:307- 10.
16. Patrick J, Pencharz PB, and The Nutrition Committee. Canadian Pediatric Society: Undernutrition in Neurodevelopmentally Disabled Children A Position Statement. Can Med Ass J 1994;151:753-9.
17. Hassall E. Antireflux Surgery in Children: Time for a Harder Look. Pediatrics 1998; 3:467-8.
18. Tedeschi A, Profiti V, et al. Trattamento nutrizionale dei bambini con handicap neuromotorio. Medico e Bambino 1996;1:16-27.
19. Lucas A. Paediatric nutrition as a new subspecialty: is the time right? Arch Dis Child 1997;1:3.
2. Couriel JM, Bisset R, et al. Assessment of feeding problems in neurodevelopmental handicap: a team approach. Arch Dis Child 1993;69:609-13.
3. Tedeschi A. Epidemiology of Gastrointestinal Problems in Children with Neurodevelopmental Handicap. Comunicazione al “First International Symposium on Pediatric NeuroGastroenterology”. Capri, settembre, 1997.
4. Ramsay M, Gisel EG, Boutry M. Non-organic failure to thrive: growth failure secondary to feeding-skills disorders. Dev Med Child Neurol 1993;35:285-97.
5. Wolf LS, Glass RP. Problem-Driven Models, Multidisciplinary Assessment of Infant Feeding. In: Feeding and Swallowing Disorders in Infancy Assessment and Management. Therapy Skill Builders Ed. 555 Academic Court San Antonio, Texas, 1992:159-206.
6. Patrick J, Boland M, et al. Rapid correction of wasting in children with cerebral palsy. Dev Med Child Neurol 1986;28:734-9.
7. Sanders KD, Cox K, et al. Growth response to enteral feeding by children with cerebral palsy. JPEN 1990;14:23-6.
8. Darwish H. Living with cerebral palsy and tube feeding: easier to feed but at what cost? J Pediatr 1999;135:272-3.
9. Hill ID, Mann MD. Use of oral gentamicin, metronidazole, and cholestiramine in the treatment of severe resistant diarrhea in infants. J Pediatr 1986;77:447-81.
10. Benkov KJ. When “Buttoning Up” Is Not Sound Advice. J Pediatr Gastroenterol Nutr 1993;17:358-60.
11. Strauss D, Kastener T, et al. Tubefeeding and Mortality in Children with Severe Disabilities and Mental Retardation. Pediatrics 1997;99:358-62.
12. Sullivan PB. Is Tube-Feeding in Disabled Children Associated with excess Mortality? J Pediatr Gastroentrol Nutr 1998;27:240-1.
13. Fried MD, Khoshoo V, et al. Decrease in gastric emptying time and episodes of regurgitation in children with spastic quadriplegia fed a whey-based formula. J Pediatr 1992; 120:569-72.
14. Khoshoo V, Zembo M, et al. Incidence of Gastroesophageal reflux with Whey and Casein- Based formulas in Infants and in Children with Severe Neurological Impairment. J Pediatr Gastroenterol Nutr 1996;22:48-55.
15. Smith SW, Camfield C, et al. Living cerebral palsy and tube feeding: A population-based follow-up study. J Pediatr 1999;135:307- 10.
16. Patrick J, Pencharz PB, and The Nutrition Committee. Canadian Pediatric Society: Undernutrition in Neurodevelopmentally Disabled Children A Position Statement. Can Med Ass J 1994;151:753-9.
17. Hassall E. Antireflux Surgery in Children: Time for a Harder Look. Pediatrics 1998; 3:467-8.
18. Tedeschi A, Profiti V, et al. Trattamento nutrizionale dei bambini con handicap neuromotorio. Medico e Bambino 1996;1:16-27.
19. Lucas A. Paediatric nutrition as a new subspecialty: is the time right? Arch Dis Child 1997;1:3.