Comparison between pre-thickened and home-thickened formulas in gastroesophageal reflux treatment

Penna, Francisco José; Carvalho, Anfrisina S. T.; Pompeu, Beatriz C. T.; Penna, Gustavo; Ferreira, Marisa; Duque, Cristiano G.; Couto, Juliana; Maia, Júnia Xavier; Flores, Plínio; Soares, José Francisco; Norton, Rocksane de Carvalho

doi:10.2223/jped.937

Cited by 5 publications

(1 citation statement)

References 4 publications

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“…General complication rates reported in studies were also summarized. Overall rate of adverse events or unspecified complications were reported in studies examining the use of locust bean gum, 35,36,42 cornstarch, 32,43 and rice starch. 29 All 6 investigations indicated that no infant experienced any complications during the study period or that the rate of adverse events was not significant.…”

Section: Clinical Questionmentioning

confidence: 99%

Thickened Liquids as a Treatment for Children With Dysphagia and Associated Adverse Effects

Gosa

Schooling

Coleman

2011

ICAN: Infant, Child, & Adolescent Nutrition

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Thickened liquids are a common treatment for dysphagia; however, little is known about their effects in children. The aim of this systematic review was to summarize the state and quality of evidence for the use of thickened liquids on swallowing physiology, oral feeding, weight gain/growth, hydration, and pulmonary health outcomes in children with dysphagia. Another aim was to identify any increased occurrence of adverse effects that may be associated with their use in all children, not just those with dysphagia. A total of 24 electronic databases were systematically searched. Articles meeting the inclusion criteria were evaluated for methodological quality by 2 reviewers and vetted by a third. In total, 22 studies were included. Six studies, with significant methodological limitations, examined the effects of thickened liquids on swallowing physiology or pulmonary health outcomes and reported mixed findings. Sixteen studies examined adverse effects and indicated that among a select pediatric population with gastroesophageal reflux, no significant increase in the rate of adverse effects from the use of thickened liquids was noted. Results of this review highlight the insufficient evidence base for this popular treatment option. Additional experimental research is warranted to understand the efficacy and effectiveness of thickened liquid use in the pediatric population.

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Section: Clinical Questionmentioning

confidence: 99%

Thickened Liquids as a Treatment for Children With Dysphagia and Associated Adverse Effects

Gosa

Schooling

Coleman

2011

ICAN: Infant, Child, & Adolescent Nutrition

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Overview of Infant and Pediatric Formulas

Joeckel

Phillips

2009

Nut in Clin Prac

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Because every child has individual needs, there are a variety of infant and pediatric formulas from which to choose. Not only are there several categories of formulas including milk protein-based, soy protein-based, hydrolyzed protein, and amino acid-based, but there are differences between products within each category. Research is being done in the area of formula design for the prevention or treatment of disease. In this article, the authors review types of formulas and their indications for use for infants and children, and review current literature on formula trends.

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Efficacy of half-solid nutrient for the elderly patients with percutaneous endoscopic gastrostomy

Shizuku¹,

Adachi

Furuta

et al. 2011

J. Clin. Biochem. Nutr.

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Percutaneous endoscopic gastrostomy tube feeding is widely used for patients with swallowing dysfunction and a history of repeated aspiration pneumonitis. However, liquid nutrient feeding via percutaneous endoscopic gastrostomy is not effective enough to prevent aspiration pneumonitis and related inflammatory responses. We performed this prospective multi-centre study to clarify the efficacy of half-solidification of nutrients to prevent fever possibly caused by aspiration pneumonitis in elderly patients with percutaneous endoscopic gastrostomy. The study subjects were 42 elderly patients undergoing percutaneous endoscopic gastrostomy feeding (mean age 85.8 years). All subjects were fed half-solid as well as liquid nutrients for 8 weeks respectively in a cross over design. We counted the number of days with fever caused by pneumonitis and unidentified origin. Thirty-two of 42 patients were successfully observed in both nutrient periods. Fever was frequently observed in both nutrient periods, however, the percentage of observational days with fever during half-solid nutrient feeding was significantly lower than that during liquid nutrient feeding (15.3 ± 0.3 vs 19.8 ± 0.4%, p = 0.030). The percentage of observational days when patients had diarrhea was not significantly different (10.1 ± 3.8 vs 7.2 ± 3.2%, p = 0.357). In conclusion, half-solid nutrient feeding was determined to be effective for reducing fever in patients with percutaneous endoscopic gastrostomy feeding.

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Comparison between pre-thickened and home-thickened formulas in gastroesophageal reflux treatment

Cited by 5 publications

References 4 publications

Thickened Liquids as a Treatment for Children With Dysphagia and Associated Adverse Effects

Thickened Liquids as a Treatment for Children With Dysphagia and Associated Adverse Effects

Overview of Infant and Pediatric Formulas

Efficacy of half-solid nutrient for the elderly patients with percutaneous endoscopic gastrostomy

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