Davis AM, Bruce AS, Mangiaracina C, Schulz T, Hyman P
Moving From Tube to Oral Feeding in Medically Fragile Nonverbal Toddlers. [JOURNAL ARTICLE]
J Pediatr Gastroenterol Nutr 2009 Jun 16.
The current article describes a 14-week outpatient protocol for transitioning from gastrostomy tube to oral feeding in toddlers with medical complications. The team ensured that eating skills were mastered before treating patients for 8 weeks with continuous gastrojejunal drip tube feedings and low-dose tricyclic antidepressant and/or gabapentin. We prescribed 6 weeks of megestrol for hunger provocation while withdrawing tube feedings. A chart review after treatment demonstrated 9 subjects were eating exclusively orally and 1 was eating 50% orally.
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