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Evaluation and Treatment of Malnutrition and Associated Gastrointestinal Complications in Children with Cerebral Palsy

Iva Hojsak|Ivana Trivić
대한소아소화기영양학회 (The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition)|2019.03|Pediatric Gastroenterology, Hepatology & Nutrition|제22권 제2호|pp. 122-131|DOI 10.5223/pghn.2019.22.2.122

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키워드

ChildrenDiet therapyCerebral palsyMalnutritionNutritional assessment
주제분류소아과학

초록

The majority of children with cerebral palsy (CP) have feeding difficulties and are especially prone to malnutrition. The early involvement of a multidisciplinary team should aim to prevent malnutrition and provide adequate nutritional support. Thorough nutritional assessment, including body composition, should be a prerequisite for the nutritional intervention. As in typically-developed children nutritional support should start with dietary advice and the modification of oral feeding, if safe and acceptable. However, for prolonged feeding, in the presence of unsafe swallowing and inadequate oral intake, enteral nutrition should be promptly initiated and early gastrostomy placement should be evaluated and discussed with parents/caregivers. Gastrointestinal problems (oropharyngeal dysfunction, gastroesophageal disease, and constipation) in children with CP are frequent and should be actively detected and adequately treated as they can further worsen the feeding process and nutritional status.

Abstract

The majority of children with cerebral palsy (CP) have feeding difficulties and are especially prone to malnutrition. The early involvement of a multidisciplinary team should aim to prevent malnutrition and provide adequate nutritional support. Thorough nutritional assessment, including body composition, should be a prerequisite for the nutritional intervention. As in typically-developed children nutritional support should start with dietary advice and the modification of oral feeding, if safe and acceptable. However, for prolonged feeding, in the presence of unsafe swallowing and inadequate oral intake, enteral nutrition should be promptly initiated and early gastrostomy placement should be evaluated and discussed with parents/caregivers. Gastrointestinal problems (oropharyngeal dysfunction, gastroesophageal disease, and constipation) in children with CP are frequent and should be actively detected and adequately treated as they can further worsen the feeding process and nutritional status.

참고문헌 (49)

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관련 논문AI추천

Nutritional Status of Children with Cerebral Palsy이가은, Hye Kyung Ku, In Seok Seo, Jae Won Shim, Joo Sup Kim, Jun Sung Park, Tae Im Yi, Won Seok Huh대한재활의학회 · Annals of Rehabilitation Medicine2011 · 제35권 제1호Relationship between Gross Motor Function, Oromotor Function and Nutritional Status in Children with Cerebral Palsy김향희, 박은숙, 박지은, 유준기, 유지현, 정호익대한재활의학회 · Annals of Rehabilitation Medicine2010 · 제34권 제6호Overall Profile of a Pediatric Multidisciplinary Feeding Clinic권정이, 장현정, 정지선대한재활의학회 · Annals of Rehabilitation Medicine2016 · 제40권 제4호Enteral Nutrition in Pediatric PatientsDae Yong Yi대한소아소화기영양학회 · Pediatric Gastroenterology, Hepatology & Nutrition2018 · 제21권 제1호경직성 뇌성마비 환아에서 대장운동 기능 및 영양섭취 상태의 평가박사윤, 박은숙, 박창일, 조성래, 조윤수대한재활의학회 · Annals of Rehabilitation Medicine2002 · 제26권 제1호연하 및 섭식장애가 있는 발달장애아의 영양중재송지영대한연하장애학회 · 대한연하장애학회지2012 · 제2권 제1호

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