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Published in: Indian Journal of Pediatrics 4/2023

17-02-2023 | Gastrostomy | Clinical Brief

Gastrostomy Tube Feeding in Indian Children with Advanced Chronic Kidney Disease

Authors: Shally Sharma, Aditi Sinha, Rohan Malik, Arvind Bagga

Published in: Indian Journal of Pediatrics | Issue 4/2023

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Abstract

Guidelines recommend initiating supplemental enteral feeding through a nasogastric (NG) or gastrostomy tube (G-tube) in patients with chronic kidney disease who have inadequate oral intake despite repeated nutritional counseling. While G-tube placement is shown to improve both nutritional status and anthropometric indices of children with CKD in developed regions, information from developing countries is lacking. This retrospective report reviewed the impact of G-tube feeding on nutritional intakes and anthropometric parameters over a 1-y follow-up in 5 children with CKD-5D managed at one tertiary care center in India. Gastrostomy feeding facilitated significant increments in caloric and protein intake and was easy and safe. However, G-tube feeding led to additional expenses, and the changes in growth parameters were variable in the short term. A longer follow-up appears necessary to understand its impact on wasting, growth velocity, and stature.
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Metadata
Title
Gastrostomy Tube Feeding in Indian Children with Advanced Chronic Kidney Disease
Authors
Shally Sharma
Aditi Sinha
Rohan Malik
Arvind Bagga
Publication date
17-02-2023
Publisher
Springer India
Published in
Indian Journal of Pediatrics / Issue 4/2023
Print ISSN: 0019-5456
Electronic ISSN: 0973-7693
DOI
https://doi.org/10.1007/s12098-023-04499-8

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