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Tube Feeding in Children Dr.Fawaz AlRefaee,MBBS FAAP FRCPC Consultant Pediatric Gastroenterologist,Kuwait International Growth and Development Conference Dubai,UAE March 16,2018
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Tube Feeding in Children - INTERNATIONAL GROWTH ... Feeding in Children Dr.Fawaz AlRefaee,MBBS FAAP FRCPC Consultant Pediatric Gastroenterologist,Kuwait International Growth and Development

May 26, 2018

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Page 1: Tube Feeding in Children - INTERNATIONAL GROWTH ... Feeding in Children Dr.Fawaz AlRefaee,MBBS FAAP FRCPC Consultant Pediatric Gastroenterologist,Kuwait International Growth and Development

Tube Feeding in Children

Dr.Fawaz AlRefaee,MBBS FAAP FRCPC Consultant Pediatric Gastroenterologist,Kuwait

International Growth and Development Conference Dubai,UAE

March 16,2018

Page 2: Tube Feeding in Children - INTERNATIONAL GROWTH ... Feeding in Children Dr.Fawaz AlRefaee,MBBS FAAP FRCPC Consultant Pediatric Gastroenterologist,Kuwait International Growth and Development

Objectives

-Describe the indications and delivery methods of tube feeding in children

-Summarize the components of enteral feeding and monitoring strategies

-Discuss safety measures of tube feeding in children

Page 3: Tube Feeding in Children - INTERNATIONAL GROWTH ... Feeding in Children Dr.Fawaz AlRefaee,MBBS FAAP FRCPC Consultant Pediatric Gastroenterologist,Kuwait International Growth and Development

Poll Question

Page 4: Tube Feeding in Children - INTERNATIONAL GROWTH ... Feeding in Children Dr.Fawaz AlRefaee,MBBS FAAP FRCPC Consultant Pediatric Gastroenterologist,Kuwait International Growth and Development

Answer : D

Child needs long term enteral feeding via G tube as intermittent boluses to be more physiological

Page 5: Tube Feeding in Children - INTERNATIONAL GROWTH ... Feeding in Children Dr.Fawaz AlRefaee,MBBS FAAP FRCPC Consultant Pediatric Gastroenterologist,Kuwait International Growth and Development

NUTRITIONAL INTERVENTIONS

Parenteral nutrition

Enteral feeding

Oral nutritional supplements

Nutritional counseling

Chosen approach should increase stepwise in respect to

underlying condition & impairment of nutritional status

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Paediatric EN:

Evidence based guidelines

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Referances

• Seres DS, Valcarcel M, Guillaume A Advantages of enteral nutrition over parenteral nutrition. Therap Adv Gastroenterol. 2013;6(2):157–167

• Braunschweig CL, Levy P, Sheean PM, Wang X Enteral compared with parenteral nutrition: a meta-

analysis. Am J Clin Nutr. 2001;74(4):534–54

• Jeejeebhoy KN Enteral nutrition versus parenteral nutrition--the risks and benefits. Nat Clin Pract Gastroenterol Hepatol. 2007;4(5):260–265

• Barrett M, Demehri FR, Teitelbaum DH Intestine, immunity, and parenteral nutrition in an era of preferred enteral feeding. Curr Opin Clin Nutr Metab Care. 2015;18(5):496–500

• Secker DJ, Jeejeebhoy KN How to perform Subjective Global Nutritional assessment in children. J

Acad Nutr Diet. 2012;112(3):424–431 e6

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Thanks Questions!