Article

Neurological disability is often associated with feeding and gastrointestinal
disorders leading to malnutrition and growth failure.
Assessment of nutritional
status represents the first step in the clinical evaluation of children with neurological disability.
The European Society of Gastroenterology, Hepatology,
and Nutrition (ESPGHAN) recently issued a consensus statement on gastrointestinal
and nutritional management in children with neurological disability. Here we
critically review and address implications of this consensus for clinical
practice, including assessment and monitoring of nutritional status, definition
of nutritional requirements, diagnosis and treatment of gastro-oesophageal reflux
disease, and indications for and modalities of nutritional support. There is a
strong evidence base supporting the ESPGHAN guidelines; their application is
expected to lead to better management of this group of children. Assessment of nutritional status in children with neurological disability
should include the evaluation of body composition. Standard polymeric formula via
gastrostomy tube is an effective, long-term nutritional intervention. Tube
feeding should be started early, before the development of malnutrition.
CI - (c) 2018 Mac Keith Press.

Langue : ANGLAIS