Strategies for improving early nutritional outcomes in children with oesophageal atresia and congenital diaphragmatic hernia

Dominic A Fitzgerald; Andrea Kench; Lucy Hatton; Jonathan Karpelowsky

doi:10.1016/j.prrv.2017.05.001

Strategies for improving early nutritional outcomes in children with oesophageal atresia and congenital diaphragmatic hernia

Paediatr Respir Rev. 2018 Jan:25:25-29. doi: 10.1016/j.prrv.2017.05.001. Epub 2017 May 31.

Authors

Dominic A Fitzgerald¹, Andrea Kench², Lucy Hatton³, Jonathan Karpelowsky⁴

Affiliations

¹ Department of Respiratory Medicine, The Children's Hospital at Westmead, Sydney, Australia; Discipline of Child & Adolescent Health, Sydney Medical School, University of Sydney, Australia. Electronic address: dominif2@chw.edu.au.
² Department of Respiratory Medicine, The Children's Hospital at Westmead, Sydney, Australia; Department of Nutrition and Dietetics, The Children's Hospital at Westmead, Sydney, Australia.
³ Department of Respiratory Medicine, The Children's Hospital at Westmead, Sydney, Australia.
⁴ Discipline of Child & Adolescent Health, Sydney Medical School, University of Sydney, Australia; Department of Surgery, The Children's Hospital at Westmead, Sydney, Australia.

PMID: 28666768
DOI: 10.1016/j.prrv.2017.05.001

Abstract

Post-natal growth in surgical lung conditions, such as congenital diaphragmatic hernia and oesophageal atresia with tracheo-oesophageal fistula, is often sub-optimal in the early years of life when lung growth is occurring. Whilst constitutional, behavioural and mechanical factors may contribute to poor feeding and weight gain, there is a common path of management with greater caloric supplementation that may change growth trajectories and potentially lead to better respiratory, anthropometric and cognitive outcomes. We provide simple, single page, feeding supplementation sheets in three age groups: 0-6months, 6-12months and 12-24months that have proven useful for enhancing weight gain in our patients.

Keywords: Congenital diaphragmatic hernia; Feeding guides; Growth; Oesophageal atresia.

Publication types

Review

MeSH terms

Child Development / physiology*
Energy Intake
Esophageal Atresia* / physiopathology
Esophageal Atresia* / therapy
Hernias, Diaphragmatic, Congenital* / physiopathology
Hernias, Diaphragmatic, Congenital* / therapy
Humans
Infant
Infant Nutritional Physiological Phenomena / physiology*
Infant, Newborn