Author: T. Zangen et al.
Source: Journal of Pediatric Gastroenterology and Nutrition, 2003, Sept, 37:287-293.
This study looked at children who had long histories of feeding problems such as food aversion, retching, and vomiting. The feeding problems continued after feeding therapy and g-tube surgery with a nissen fundoplication (surgical procedure where the top of the stomach called the fundus is wrapped around the lower part of the esophagus (food tube) tightening it to prevent reflux or spit up). All 14 children were fed with a feeding tube. The authors evaluated motility in the digestive tract and looked at the amount the stomach could hold before symptoms of retching or vomiting began. Intervention included slow feeding into the intestine, medicines to increase motility or decrease pain, and behavioral, cognitive, and family therapy. Results after treatment included 6 children began eating by mouth and 11 had improved emotional health. Retching decreased from 15 episodes per day to an average of 1.4 per day.
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