Parents caring and sham-feeding their child born with Esophageal atresia at home while waiting for reconstructive surgery.

IF 1.5 3区 医学 Q2 PEDIATRICS
AnnaMaria Tollne, Elin Öst, Tuva Nilsson, Markus Almström, Jan F Svensson
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引用次数: 0

Abstract

Purpose: For children with Esophageal atresia who have to wait for reconstructive surgery, long hospital stay, delayed introduction of oral feeds and hampered oro-motor function has traditionally been draw-backs for this treatment as the patients have minimal training of oro-motor function while waiting for surgery. In this paper, we present the concept of sham-feed at home awaiting reconstructive surgery with the aim to obliviate these problems. The aim was to describe the characteristics of patients with Esophageal atresia waiting for reconstructive surgery sham-feeding at home by their parents and further describe adverse events that arose.

Methods: The study is a retrospective descriptive single center study on all children with a delayed reconstruction of Esophageal atresia who was sham-fed by their parents at home before reconstructive surgery between January 2010 and January 2023 at the Karolinska University Hospital, Stockholm.

Results: Nine patients where home waiting for reconstructive surgery for a median of 72 days. No adverse events were reported related to the sham-feed procedure at home. The children had reconstructive surgery at a median 120 days of age. Five of the children ate full meals orally day 8-27 after surgery. Two children ate fully before 1 year after surgery. Two children had surgery less than 1 year ago and were not eating fully orally at the time of data collection.

Conclusion: Sham-feeding at home by the parents was safe and feasible with the benefits of a prolonged time out of hospital awaiting reconstructive surgery.

食道闭锁患儿在等待重建手术期间,家长在家中对其进行护理和假性喂养。
目的:对于需要等待重建手术的食道闭锁患儿来说,漫长的住院时间、延迟口腔喂养和口腔运动功能受阻一直是这种治疗方法的弊端,因为患者在等待手术期间只能接受最低限度的口腔运动功能训练。在本文中,我们提出了在家等待重建手术的假性喂养概念,目的是消除这些问题。目的是描述食道闭锁患者在等待重建手术期间由父母在家进行假性喂养的特点,并进一步描述出现的不良事件:该研究是一项回顾性描述性单中心研究,研究对象为2010年1月至2023年1月期间在斯德哥尔摩卡罗林斯卡大学医院接受重建手术前由父母在家假喂养的所有延迟重建食道闭锁的儿童:九名患者在家等待重建手术的时间中位数为 72 天。没有关于在家进行假性喂养的不良事件报告。这些儿童在中位 120 天时接受了重建手术。其中五名患儿在术后第 8-27 天口服了全餐。两名患儿在术后 1 年前吃饱了饭。两名儿童的手术时间不到一年,在收集数据时还没有完全口服进食:结论:父母在家进行假性喂养是安全可行的,其好处是延长了等待整形手术的住院时间。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.00
自引率
5.60%
发文量
215
审稿时长
3-6 weeks
期刊介绍: Pediatric Surgery International is a journal devoted to the publication of new and important information from the entire spectrum of pediatric surgery. The major purpose of the journal is to promote postgraduate training and further education in the surgery of infants and children. The contents will include articles in clinical and experimental surgery, as well as related fields. One section of each issue is devoted to a special topic, with invited contributions from recognized authorities. Other sections will include: -Review articles- Original articles- Technical innovations- Letters to the editor
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