| Title | Moving From Tube to Oral Feeding in Medically Fragile Nonverbal Toddlers. | | Author(s) | Davis AM, Bruce AS, Mangiaracina C, Schulz T, Hyman P | | Institution | *Department of Pediatrics, USA daggerHoglund Brain Imaging Center, USA double daggerCenter for Child Health and Development, University of Kansas Medical Center, Kansas City, USA section signDepartment of Occupational Therapy, University of Kansas Hospital, Kansas City, KS, USA paragraph signDepartment of Pediatrics, Children's Hospital of New Orleans, New Orleans, LA, USA. | | Source | J Pediatr Gastroenterol Nutr 2009 Jun 16. | | Abstract | 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. | | Language | ENG | | Pub Type(s) | JOURNAL ARTICLE
| | PubMed ID | 19543111 |
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