Feasibility and results of pull-percutaneous endoscopic gastrostomy for enteral nutrition in adults with severe cerebral palsy

Davout, A.; Rech, C.; Hanachi, Mouna; Barthod, F; Melchior, J.C.; Crenn, Pascal

doi:10.1016/j.clnu.2015.06.007

Cited by 2 publications

(21 citation statements)

References 27 publications

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“…This will be discussed in the following section. Feeding and swallowing recommendations already in place before intervention were described only by Davout et al [42]. In this study, 14 participants (73%) were orally fed either totally or partially (combination of oral and NG-tube feeding).…”

Section: Participant Characteristicsmentioning

confidence: 81%

“…All included studies [39][40][41][42] had a retrospective, observational, single-cohort design. The only intervention analysed in included studies to manage feeding and swallowing disorders in adults with ID was enteral feeding initiation.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…The entire sample mainly comprised younger adults (mean age across the studies: 39.7 years old). Participants' age range (17 to 63 years) was indicated only in three studies [40][41][42]. A balanced proportion of male and female individuals were found across included studies.…”

Section: Participant Characteristicsmentioning

confidence: 99%

“…All participants recruited had severe to profound ID, except for two individuals (1% of the entire sample) with moderate ID [40]. One study [42] included only participants with Cerebral Palsy (CP); in the other three studies the etiology of ID was not specified. The presence of feeding and swallowing disorders among participants prior to intervention was specified only in one study [39], where the presence of dysphagia (not otherwise specified) was reported in 76% of the sample.…”

Section: Participant Characteristicsmentioning

confidence: 99%

“…With regard to enteral nutrition interventions, two studies [40,42] evaluated tube placement through Percutaneous Endoscopic Gastrostomy (PEG). One study [39] collected data on 3 approaches: surgical gastrostomy, PEG, and Percutaneous Endoscopic Gastro-Jejunostomy (PEG-J) insertion.…”

Section: Intervention Characteristicsmentioning

confidence: 99%

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Interventions for Feeding and Swallowing Disorders in Adults with Intellectual Disability: A Systematic Review of the Evidence

2019

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Feeding and swallowing disorders are prevalent in adults with Intellectual Disability (ID) and can potentially lead to discomfort, malnutrition, dehydration, aspiration, and choking. Most common interventions include: diet modification, compensatory strategies, swallowing therapy, and non-oral feeding. Despite their common use, the research evidence for these interventions is lacking. The current study aimed to systematically review the evidence for the safety and the effectiveness of interventions for feeding and swallowing disorders in adults with ID. Seven electronic databases, conference proceedings, and reference lists of relevant studies were reviewed from online availability to March 2019, with no language restrictions. Eligibility criteria encompassed experimental or non-experimental study design, adults (> 18 years) with ID and feeding and/or swallowing disorders (any etiology and severity) and any intervention for feeding and/or swallowing disorders. Methodological quality was assessed by two independent reviewers using the Downs and Black checklist. Four articles met the inclusion criteria. All included studies considered enteral feeding as an intervention strategy and had a retrospective observational design. Overall, included studies reported positive change in nutritional status and a high incidence of adverse events following enteral feeding initiation. Risk of bias was high with variability in methodological quality. The safety and effectiveness of interventions for feeding and swallowing in adults with ID is unclear. This review highlights the lack of evidence-based practice in this area. Directions for further research are provided. Before enteral feeding initiation, risks and benefits should be appropriately balanced on an individual basis, and caregivers should be involved in the decision-making process.

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Section: Participant Characteristicsmentioning

confidence: 81%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Participant Characteristicsmentioning

confidence: 99%

Section: Participant Characteristicsmentioning

confidence: 99%

Section: Intervention Characteristicsmentioning

confidence: 99%

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Interventions for Feeding and Swallowing Disorders in Adults with Intellectual Disability: A Systematic Review of the Evidence

2019

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Motor Functional Level and Quality of Life According to Feeding Types in Children With Cerebral Palsy

Cengiz

Arslan

Demir

et al. 2023

Clinical and Experimental Health Sciences

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Objective: The study aimed to compare motor functions and quality of life of children with cerebral palsy (CP), as well as anxiety and depression levels of caregivers according to the feeding types of the children. Methods: The study included children with CP aged between 5-17 years. There were two groups: children with oral feeding (n=19) and children with non-oral feeding (n=16). Gross Motor Function Classification System (GMFCS) to classify children according to gross motor function, Gross Motor Function Measurement (GMFM) to evaluate gross motor functions, and parent-reported Pediatric Quality of Life Inventory to evaluate the quality of life of children were used. Beck Depression Inventory and Beck Anxiety Inventory were used to measuring caregivers’ anxiety and depression levels. Results: Significant differences were found between groups regarding the GMFCS, GMFM, and parent-reported Pediatric Quality of Life scores of children in favor of children with oral feeding (p

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Feasibility and results of pull-percutaneous endoscopic gastrostomy for enteral nutrition in adults with severe cerebral palsy

Cited by 2 publications

References 27 publications

Interventions for Feeding and Swallowing Disorders in Adults with Intellectual Disability: A Systematic Review of the Evidence

Interventions for Feeding and Swallowing Disorders in Adults with Intellectual Disability: A Systematic Review of the Evidence

Motor Functional Level and Quality of Life According to Feeding Types in Children With Cerebral Palsy

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