Trends and challenges in home enteral feeding methods for children with gastrointestinal disorders: an expert review on bolus feeding delivery methods.

IF 3.8 3区医学 Q2 GASTROENTEROLOGY & HEPATOLOGY Expert Review of Gastroenterology & Hepatology Pub Date : 2024-04-01 Epub Date: 2023-12-04 DOI:10.1080/17474124.2023.2289530

Claudio Romano, Paolo Lionetti, Maria Immacolata Spagnuolo, Sergio Amarri, Antonella Diamanti, Elvira Verduci, Antonella Lezo, Simona Gatti

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Abstract

Introduction: New evidence supports the benefits of bolus feeding for children receiving home enteral feeding (HEN). Current home methods of bolus feeding have certain limitations, particularly in mobile or restless patients. Therefore, innovative delivery methods have been introduced to provide more flexible methods of reducing feeding time and formula handling.

Areas covered: This manuscript presents an expert review of the updates in HEN for children and the results of an online user experience questionnaire about an innovative new cap-based bolus feeding system. A literature bibliographic search was conducted on Medline via PubMed up to September 2023 to collect relevant studies. We presented recent evidence demonstrating a dramatic increase in HEN use among children requiring EN and its benefits on patients' nutritional status and quality of life. In addition, the article examined the clinical and social benefits of bolus feeding and current challenges in delivery methods. We described the benefits of the new system and its user experience.

Expert opinion: The uses and indications for bolus feeding in HEN are increasing among children. However, there are still some unmet needs regarding traditional delivery methods. Innovative techniques can improve flexibility, reduce feeding time, and improve user experience and quality of life.

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胃肠疾病儿童家庭肠内喂养方法的发展趋势和挑战:专家对丸式喂养方法的综述。

新的证据支持对接受家庭肠内喂养(HEN)的儿童进行大剂量喂养的益处。目前的家庭灌喂方法有一定的局限性，特别是对活动不便或躁动不安的患者。因此，创新的交付方法已经引入，以提供更灵活的方法，减少喂养时间和配方处理。涵盖的领域:这份手稿提出了一个专家审查的更新，在HEN为儿童和关于一个创新的新帽为基础的大剂量喂养系统的在线用户体验问卷的结果。通过PubMed在Medline进行文献书目检索，截止到2023年9月收集相关研究。我们提出了最近的证据表明，在需要EN的儿童中，HEN的使用急剧增加，并且它对患者的营养状况和生活质量有好处。此外，文章检查的临床和社会效益的丸剂喂养和目前的挑战，在交付方法。我们描述了新系统及其用户体验的好处。专家意见:HEN的用途和适应症在儿童中越来越多。然而，传统的交付方式仍有一些未满足的需求。创新技术可以提高灵活性，减少喂养时间，提高用户体验和生活质量。

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来源期刊

Expert Review of Gastroenterology & Hepatology GASTROENTEROLOGY & HEPATOLOGY-

CiteScore

6.80

自引率

2.60%

发文量

审稿时长

6-12 weeks

期刊介绍： The enormous health and economic burden of gastrointestinal disease worldwide warrants a sharp focus on the etiology, epidemiology, prevention, diagnosis, treatment and development of new therapies. By the end of the last century we had seen enormous advances, both in technologies to visualize disease and in curative therapies in areas such as gastric ulcer, with the advent first of the H2-antagonists and then the proton pump inhibitors - clear examples of how advances in medicine can massively benefit the patient. Nevertheless, specialists face ongoing challenges from a wide array of diseases of diverse etiology.