| Moving from tube to oral feeding in medically fragile nonverbal toddlers. | |
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MedLine Citation:
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PMID: 19543111 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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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Authors:
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Ann McGrath Davis; Amanda Schurle Bruce; Cathy Mangiaracina; Trina Schulz; Paul Hyman |
Publication Detail:
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Type: Journal Article; Research Support, N.I.H., Extramural |
Journal Detail:
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Title: Journal of pediatric gastroenterology and nutrition Volume: 49 ISSN: 1536-4801 ISO Abbreviation: J. Pediatr. Gastroenterol. Nutr. Publication Date: 2009 Aug |
Date Detail:
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Created Date: 2009-07-27 Completed Date: 2009-10-16 Revised Date: 2011-05-20 |
Medline Journal Info:
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Nlm Unique ID: 8211545 Medline TA: J Pediatr Gastroenterol Nutr Country: United States |
Other Details:
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Languages: eng Pagination: 233-6 Citation Subset: IM |
Affiliation:
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Department of Pediatrics, University of Kansas Medical Center, Kansas City, KS 66160-7330, USA. adavis6@kumc.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Amines
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therapeutic use* Analgesics / therapeutic use* Antidepressive Agents, Tricyclic / therapeutic use* Appetite Regulation Appetite Stimulants / therapeutic use Child Behavior / psychology Child Development Child, Preschool Clinical Protocols Cyclohexanecarboxylic Acids / therapeutic use* Eating / psychology Enteral Nutrition / methods* Feeding Behavior* / psychology Feeding and Eating Disorders of Childhood / drug therapy*, psychology Female Gastrostomy / methods Humans Infant Infant Behavior / psychology Intensive Care / methods Male Megestrol / therapeutic use Motor Skills Pain / drug therapy*, psychology gamma-Aminobutyric Acid / therapeutic use* |
| Grant Support | |
ID/Acronym/Agency:
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K23 DK 068221/DK/NIDDK NIH HHS; K23 DK068221-03/DK/NIDDK NIH HHS |
| Chemical | |
Reg. No./Substance:
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0/Amines; 0/Analgesics; 0/Antidepressive Agents, Tricyclic; 0/Appetite Stimulants; 0/Cyclohexanecarboxylic Acids; 3562-63-8/Megestrol; 56-12-2/gamma-Aminobutyric Acid; 60142-96-3/gabapentin |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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