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Wilken M.,Institute for Pediatric Feeding Tube Management and Weaning | Bartmann P.,University of Bonn
Journal of Pediatric Nursing | Year: 2014

Low birth weight infants (LBW) are reported to be at risk for posttraumatic feeding disorder (PTFD). In this study, we evaluated the outcome of an intervention program for infants with PTFD. LBW infants with PTFD (N= 21) completed feeding behavior questionnaires at entry and after completing the program and were compared to a matched control group. PTFD group infants showed a significantly high rate of food disorder symptoms at entry but not at follow-up compared to the control group. The intervention program for PTFD infants resulted in reduced feeding disorder symptoms. © 2014 Elsevier Inc. Source

Wilken M.,Institute for Pediatric Feeding Tube Management and Weaning | Cremer V.,Institute for Pediatric Feeding Tube Management and Weaning | Berry J.,Spectrum Pediatrics | Bartmann P.,University of Bonn
Archives of Disease in Childhood | Year: 2013

Background: Oral aversion and feeding disorders occur frequently after long-term feeding via a tube. A rapid home-based tube-weaning programme that provides feeding disorder treatment under medical supervision to overcome oral aversion has been developed. Aims: To describe the results of the 4-10-day rapid home-based feeding tube-weaning programme and to determine the prevalence of food aversion and the overall longitudinal effects on feeding behaviour and growth after treatment. Subjects and Methods: The parents of children who participated in the programme between 2005 and 2007 were followed up via questionnaire in 2008. The questionnaire included inquiries about the characteristics of tube feeding, feeding behaviour and growth parameters. Results: The study group comprised of 18 boys and 21 girls who, at entry, had a median age of 16 months (range, 5-57) and a median duration of tube feeding of 15 months (range, 3-56). The children were followed up for a median of 2 years after treatment (range, 1-3 years). The weaning programme established oral feeding in 89.7% of the children. In all cases where oral feeding was achieved, the feeding behaviour improved after treatment. The growth velocity of all children, as indicated by weight, length and body mass index (BMI), remained constant from the initial evaluation (BMI zscore M=-1.1 ± 1.7) to follow-up (BMI z-score M=-1.2 ± 1.1). Conclusions: This rapid weaning programme for children with feeding tube dependency (FTD) improved the feeding behaviour and was associated with constant growth velocity. Source

Wilken M.,Institute for Pediatric Feeding Tube Management and Weaning | Cremer V.,Institute for Pediatric Feeding Tube Management and Weaning | Echtermeyer S.,Sprachpuzzle
Infant, Child, and Adolescent Nutrition | Year: 2015

Introduction. Over the past 2 decades a dramatic increase of pediatric feeding via tube has been reported, which has resulted in a higher prevalence of feeding tube dependency (FTD). Several treatment programs for FTD have been established over the past 2 decades, but only a few with detailed outlines and definitions of terms have been published. This article will outline the home-based tube weaning program as well review existing evidence. Program Outline. The home-based treatment program is a new treatment modality that allows children to stay in a home environment during treatment. The underlying condition as well as the treatment in its 5 phases have been outlined: assessment, preparation, hunger induction, intensive treatment, and follow-up. Treatment Outcome. Three articles regarding the treatment outcomes of home-based FTD treatment were reviewed. The results of this review show that the success rate of the treatment program has been consistently 90% of the involved cases, with major improvements in eating behavior and without deceleration of growth. Conclusion. The home-based treatment program is a safe and promising new modality for FTD. © 2015, © 2015 The Author(s). Source

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