Outcomes of Blenderized Gastrostomy Feeding in Children at Rouen University Hospital

Abstract

Purpose

During the last few years, there has been an observed increase in the demand for blenderized tube feeding (BTF) in the outpatient setting among the caregivers of children suffering from chronic illnesses. This study aimed to assess the clinical and biochemical effect of BTF on children’s general health and determine the psychosocial effect of this feeding type on their families.

Patients and Methods

This monocenter, retrospective study was conducted at the pediatric department of Rouen Hospital, France, and included ten children receiving a blended diet via enteral feeding tubes. Data were collected from the patients’ profiles and by interviewing the caregivers to evaluate the clinical effects of BTF and its psychosocial effects on caregivers. Additionally, patients’ medical records were reviewed for their nutritional status by assessing anthropomcetric measurements and biochemical markers recorded during follow-up visits.

Results

Ten patients were included (mean age, 6.2 years), and the mean BTF duration was 2.8 years. The patients were fed either homemade or commercial puree. Upper gastrointestinal symptoms such as vomiting improved rapidly after the introduction of blended food in six children (60%), where four experienced complete symptom regression and two showed marked improvement. Similarly, gagging and retching were alleviated in all cases. Diarrhea was alleviated in all cases, whereas constipation improved in three out of four patients. The families were satisfied with using natural BTF; however, caregivers cited the time taken to deliver blended food via syringe as a disadvantage.

Conclusion

We observed an improvement in gastrointestinal symptoms after the use of blended feeding by gastrostomy. Additionally, BTF had a positive psychological effect on caregivers.

Keywords:

• blenderized tube feeding
• blended feeding
• enteral feeding
• gastrostomy

Abbreviations

BTF, blenderized tube feeding; BMI, body mass index; GI, gastrointestinal.

Acknowledgments

We would like to express our special thanks to our dietitians in pediatrics department, Ms. Orlane Duhamel, Ms Leila Daufrene and Mr. Eric Tourancheau. Also our great thanks to Dr. Fahad Alabbas and Ms Sarah Alabbas for helping us editing this article.

Disclosure

The authors report no conflicts of interest in relation to this work.