Abstract
The current article describes a 14-week outpatient protocol for transitioning from gastrostomy tube to oral feeding in toddlers with medical complications. The team ensured that eating skills were mastered before treating patients for 8 weeks with continuous gastrojejunal drip tube feedings and low-dose tricyclic antidepressant and/or gabapentin. We prescribed 6 weeks of megestrol for hunger provocation while withdrawing tube feedings. A chart review after treatment demonstrated 9 subjects were eating exclusively orally and 1 was eating 50% orally.
Publication types
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Research Support, N.I.H., Extramural
MeSH terms
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Amines / therapeutic use*
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Analgesics / therapeutic use*
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Antidepressive Agents, Tricyclic / therapeutic use*
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Appetite Regulation
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Appetite Stimulants / therapeutic use
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Child Behavior / psychology
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Child Development
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Child, Preschool
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Clinical Protocols
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Critical Care / methods
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Cyclohexanecarboxylic Acids / therapeutic use*
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Eating / psychology
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Enteral Nutrition / methods*
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Feeding Behavior* / psychology
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Feeding and Eating Disorders of Childhood / drug therapy*
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Feeding and Eating Disorders of Childhood / psychology
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Female
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Gabapentin
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Gastrostomy / methods
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Humans
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Infant
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Infant Behavior / psychology
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Male
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Megestrol / therapeutic use
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Motor Skills
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Pain / drug therapy*
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Pain / psychology
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gamma-Aminobutyric Acid / therapeutic use*
Substances
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Amines
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Analgesics
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Antidepressive Agents, Tricyclic
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Appetite Stimulants
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Cyclohexanecarboxylic Acids
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gamma-Aminobutyric Acid
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Gabapentin
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Megestrol