Duodenal Tube Feeding: An Alternative Approach for Effectively Promoting Weight Gain in Children with Gastroesophageal Reflux and Congenital Heart Disease
We tested whether duodenal tube feeding effectively improves the clinical symptoms and body weight gain in children with congenital heart disease (CHD) and gastroesophageal reflux (GER). In the retrospective analysis of 17 consecutive children with CHD who were treated with duodenal tube feeding for...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2013-01-01
|
| Series: | Gastroenterology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2013/181604 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832549855969411072 |
|---|---|
| author | Seiko Kuwata Yoichi Iwamoto Hirotaka Ishido Mio Taketadu Masanori Tamura Hideaki Senzaki |
| author_facet | Seiko Kuwata Yoichi Iwamoto Hirotaka Ishido Mio Taketadu Masanori Tamura Hideaki Senzaki |
| author_sort | Seiko Kuwata |
| collection | DOAJ |
| description | We tested whether duodenal tube feeding effectively improves the clinical symptoms and body weight gain in children with congenital heart disease (CHD) and gastroesophageal reflux (GER). In the retrospective analysis of 17 consecutive children with CHD who were treated with duodenal tube feeding for symptomatic GER, we found that clinical symptoms of persistent emesis or respiratory wheezing after feeding disappeared with duodenal tube feeding in all patients. Duodenal tube feeding facilitated a stable nutritional supply, resulting in marked improvement of weight gain from 6 to 21 g/day (). In a patient with trisomy 21 and persistent pulmonary hypertension after the closure of a ventricular septal defect, duodenal tube feeding ameliorated pulmonary hypertension, as evidenced by the improvement of the pressure gradient of tricuspid regurgitation from 77 to 41 mm Hg. In 14 of the 17 patients, the duodenal tube was successfully removed, with the spontaneous improvement of GER (median duration of duodenal tube feeding: 7 months). In conclusion, duodenal tube feeding improves the weight gain of infants with GER who need treatment for CHD-associated heart failure. It also allows for the improvement of pulmonary hypertension. |
| format | Article |
| id | doaj-art-5f524cd0f6b14f9d829db21eb098c872 |
| institution | Kabale University |
| issn | 1687-6121 1687-630X |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Gastroenterology Research and Practice |
| spelling | doaj-art-5f524cd0f6b14f9d829db21eb098c8722025-02-03T06:08:24ZengWileyGastroenterology Research and Practice1687-61211687-630X2013-01-01201310.1155/2013/181604181604Duodenal Tube Feeding: An Alternative Approach for Effectively Promoting Weight Gain in Children with Gastroesophageal Reflux and Congenital Heart DiseaseSeiko Kuwata0Yoichi Iwamoto1Hirotaka Ishido2Mio Taketadu3Masanori Tamura4Hideaki Senzaki5Department of Pediatrics and Pediatric Cardiology, Saitama Medical University, Saitama, JapanDepartment of Pediatrics and Pediatric Cardiology, Saitama Medical University, Saitama, JapanDepartment of Pediatrics and Pediatric Cardiology, Saitama Medical University, Saitama, JapanDepartment of Pediatrics and Pediatric Cardiology, Saitama Medical University, Saitama, JapanDepartment of Pediatrics and Pediatric Cardiology, Saitama Medical University, Saitama, JapanDepartment of Pediatrics and Pediatric Cardiology, Saitama Medical University, Saitama, JapanWe tested whether duodenal tube feeding effectively improves the clinical symptoms and body weight gain in children with congenital heart disease (CHD) and gastroesophageal reflux (GER). In the retrospective analysis of 17 consecutive children with CHD who were treated with duodenal tube feeding for symptomatic GER, we found that clinical symptoms of persistent emesis or respiratory wheezing after feeding disappeared with duodenal tube feeding in all patients. Duodenal tube feeding facilitated a stable nutritional supply, resulting in marked improvement of weight gain from 6 to 21 g/day (). In a patient with trisomy 21 and persistent pulmonary hypertension after the closure of a ventricular septal defect, duodenal tube feeding ameliorated pulmonary hypertension, as evidenced by the improvement of the pressure gradient of tricuspid regurgitation from 77 to 41 mm Hg. In 14 of the 17 patients, the duodenal tube was successfully removed, with the spontaneous improvement of GER (median duration of duodenal tube feeding: 7 months). In conclusion, duodenal tube feeding improves the weight gain of infants with GER who need treatment for CHD-associated heart failure. It also allows for the improvement of pulmonary hypertension.http://dx.doi.org/10.1155/2013/181604 |
| spellingShingle | Seiko Kuwata Yoichi Iwamoto Hirotaka Ishido Mio Taketadu Masanori Tamura Hideaki Senzaki Duodenal Tube Feeding: An Alternative Approach for Effectively Promoting Weight Gain in Children with Gastroesophageal Reflux and Congenital Heart Disease Gastroenterology Research and Practice |
| title | Duodenal Tube Feeding: An Alternative Approach for Effectively Promoting Weight Gain in Children with Gastroesophageal Reflux and Congenital Heart Disease |
| title_full | Duodenal Tube Feeding: An Alternative Approach for Effectively Promoting Weight Gain in Children with Gastroesophageal Reflux and Congenital Heart Disease |
| title_fullStr | Duodenal Tube Feeding: An Alternative Approach for Effectively Promoting Weight Gain in Children with Gastroesophageal Reflux and Congenital Heart Disease |
| title_full_unstemmed | Duodenal Tube Feeding: An Alternative Approach for Effectively Promoting Weight Gain in Children with Gastroesophageal Reflux and Congenital Heart Disease |
| title_short | Duodenal Tube Feeding: An Alternative Approach for Effectively Promoting Weight Gain in Children with Gastroesophageal Reflux and Congenital Heart Disease |
| title_sort | duodenal tube feeding an alternative approach for effectively promoting weight gain in children with gastroesophageal reflux and congenital heart disease |
| url | http://dx.doi.org/10.1155/2013/181604 |
| work_keys_str_mv | AT seikokuwata duodenaltubefeedinganalternativeapproachforeffectivelypromotingweightgaininchildrenwithgastroesophagealrefluxandcongenitalheartdisease AT yoichiiwamoto duodenaltubefeedinganalternativeapproachforeffectivelypromotingweightgaininchildrenwithgastroesophagealrefluxandcongenitalheartdisease AT hirotakaishido duodenaltubefeedinganalternativeapproachforeffectivelypromotingweightgaininchildrenwithgastroesophagealrefluxandcongenitalheartdisease AT miotaketadu duodenaltubefeedinganalternativeapproachforeffectivelypromotingweightgaininchildrenwithgastroesophagealrefluxandcongenitalheartdisease AT masanoritamura duodenaltubefeedinganalternativeapproachforeffectivelypromotingweightgaininchildrenwithgastroesophagealrefluxandcongenitalheartdisease AT hideakisenzaki duodenaltubefeedinganalternativeapproachforeffectivelypromotingweightgaininchildrenwithgastroesophagealrefluxandcongenitalheartdisease |