Pediatric Nutrition in Practice

Enteral Nutritional Support 157

3

• Determination of the role of transpyloric feed-
  ing, and establishment of a practical and safe
  bedside method of checking the position of the
  feeding tube tip


• Identifying risk factors for complications, and
  developing protocols that minimize them,
  particularly with respect to bacterial contami-
  nation

Conclusions

• EN is a safe and effective method of nutrition-
  al therapy
  
  
  • EN should be provided when oral feeds cannot
    sustain normal growth in a child with reason-
    ably preserved gastrointestinal function
  
  
  • Selection of an enteral formula depends on the
    patient’s age and clinical condition, but for the
    majority of patients, a standard age-adapted
    polymeric formula is the appropriate choice,
    with the best cost-benefit ratio
  
  
  • Technical, metabolic, gastrointestinal, infec-
    tive and psychological complications may oc-
    cur; close monitoring by a multidisciplinary
    team, application of procedural protocols
    and regular quality control are therefore re-
    quired
  
  
  
  

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15 Bankhead R, Boullata J, Brantley C, Cor-

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DOI: 10.1159/000360330