Nasogastric Tube Feeding in Children with Cancer: The Effect of Two Different Formulas on Weight, Body Composition, and Serum Protein Concentrations

Abstract

The energy-enriched formula was more effective in improving the nutritional status of children with cancer during the intensive phase of treatment than the standard formula. Intensive, protocolized administration of an energy-enriched formula should therefore be initiated as soon as one of the criteria for initiation of tube feeding is met.

Outcomes of an enteral feeding protocol in pediatric cancer patients: a non-randomized clinical trial

“…Prolonged length of enteral feeding may ensure greater improvement of nutritional status. [42][43][44][45] In the current study, there was an association between TF duration and nutritional indicators from week zero to the last week. However, some authors have recommended feeding by means of gastrostomy if the nutritional therapy has to be maintained for more than three months in pediatric cancer patients.…”

“…19,25 However, interpretations of these studies among children and adolescents with cancer are difficult because of study design limitations relating to numbers of patients, non-randomized trial designs, different diagnoses, concomitant parenteral nutrition and limitations on nutritional assessment methods. 2,24,25,[43][44][45][46][47] Furthermore, these studies did not describe the amount of tube feeding supplement intake.…”

“…Most of them had small numbers of patients and did not adequately describe the patients who refused tube feeding or what criteria were used for starting tube feeding. 24,25,42,44,46,51 Some difficulties found in these studies relate to non-ethical aspects of randomization, considering that there is a general belief that tube feeding is more effective in improving nutritional status than is oral feeding.…”

Perfil Nutricional de Crianças Portadoras de Tumores Cerebrais com Síndrome Diencefálica ou Síndrome de Russell recebendo Dieta Enteral

“…a nutrição enteral é uma conduta bem estabelecida em pacientes pediátricos com câncer com algum grau de risco nutricional ou desnutrição, considerando que sua utilização está associada à recuperação do estado nutricional nessa população. entretanto, ainda são necessários ensaios clínicos, avaliando seus benefícios na resposta terapêutica, incidência de complicações e prognóstico [18][19][20][21]2,22,23 .…”

Diretrizes para terapia nutricional em crianças com câncer em situação crítica

“…Essa conduta decorre da ingestão oral prejudicada associada, principalmente, às toxicidades dos medicamentos sobre o trato gastrointestinal [10][11][12][13] . Atualmente, entretanto, tal conduta está sendo substituída pelo uso de sondas nasoenterais, particularmente nas nações mais desenvolvidas do globo, por ser factível, segura e bem tolerada 12,14 .…”