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Pediatric Nephrology

, Volume 11, Issue 1, pp 84–86 | Cite as

Feeding dysfunction in infants with severe chronic renal failure after long-term nasogastric tubefeeding

  • Luca Dello Strologo
  • Flavia Principato
  • Donatella Sinibaldi
  • Aldo Claris Appiani
  • Fabiola Terzi
  • Anne Marie Dartois
  • Gianfranco Rizzoni
Brief report

Abstract

.Nasogastric tube feeding (NGTF) is frequently necessary to overcome the inadequate caloric intake of children with severe chronic renal failure (CRF). In a multicenter retrospective study, we evaluated feeding dysfunction after tube feeding withdrawal in children with severe CRF who started long-term enteral nutrition early in childhood. We considered, almost exclusively, infants who had started NGTF very early and continued to be tube fed for at least 9 months. Twelve patients were included in the study: 8 showed significant and persistent eating difficulties, with difficulties in chewing and swallowing in 7 and food refusal in 6. For 2 patients “panic attacks” from swallowing were repeatedly reported. These problems persisted for more than year in 5 patients and between 1 and 6 months in 4. The possible feeding difficulties that may follow NTGF must be carefully evaluated. A possible means of overcoming these difficulties might include: encouraging the use of a pacifier, proposing water for spontaneous assumption, leaving the child the possibility of eating food spontaneously during the daytime, and increased support for the parents during weaning. These need prospective study.

Key words: Chronic renal failure Nasogastric tube feeding Eating difficulties 

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Copyright information

© IPNA - International Pediatric Nephrology Association New York, USA 1997

Authors and Affiliations

  • Luca Dello Strologo
    • 1
  • Flavia Principato
    • 1
  • Donatella Sinibaldi
    • 1
  • Aldo Claris Appiani
    • 2
  • Fabiola Terzi
    • 3
  • Anne Marie Dartois
    • 3
  • Gianfranco Rizzoni
    • 1
  1. 1.Division of Nephrology and Dialysis, Bambino Gesù Children’s Research Hospital, Rome, ItalyIT
  2. 2.Department of Pediatrics, University of Milan, Milan, ItalyIT
  3. 3.INSERM U192 Hôpital Necker des Enfants Malades, Paris, FranceFR

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