Birketvedt Kjersti, Mikkelsen Audun, Hanssen Ragnhild, Schiørbeck Helle, IJsselstijn Hanneke, Henriksen Christine, Emblem Ragnhild
Centre of Rare Diseases, Division of Pediatric and Adolescent Medicine Oslo University Hospital Oslo Norway.
Division of Pediatric Surgery Oslo University Hospital Oslo Norway.
JPGN Rep. 2024 Oct 17;5(4):462-469. doi: 10.1002/jpr3.12136. eCollection 2024 Nov.
Challenges regarding feeding difficulties and nutrition in children with esophageal atresia (EA) have been sparsely studied. The aim of this study was to explore parent-reported feeding difficulties in children with EA by applying Montreal Children's Hospital-Feeding Scale (MCH-FS), and to further explore associations between feeding difficulties and clinical factors, growth and nutritional intake.
Parents of EA children born between 2012 and 2017 were invited. Clinical data were collected from medical records. In a prospective cohort-study parent-reported feeding difficulties (by MCH-FS) were reported at two assessments, and at the second assessment, dietary data were collected by using the 24-h food-recall method.
Out of 55 eligible participants, we evaluated 53 children at median age of 1.6 years (Q1:Q3 1.0:2.9) (first assessment) and 38 at median age of 4.2 years (Q1:Q3 1.0:2.9) (second assessment). Feeding difficulties were reported by 34% and 31% of the parents, respectively, but no particular profile of concerns could be identified. Children's energy intake and weight-for-age were correlated with feeding difficulties (MCH-FS total score) ( < 0.02).
Parent-reported feeding difficulties were identified in one-third of children with EA and related to low energy intake and low weight-for-age, but not to clinical factors. This implies that feeding difficulties must be screened for during follow-up in all EA children and may facilitate early detection of challenges and intervention if needed.
食管闭锁（EA）患儿喂养困难和营养方面的挑战研究较少。本研究旨在应用蒙特利尔儿童医院喂养量表（MCH-FS）探讨家长报告的EA患儿喂养困难情况，并进一步探讨喂养困难与临床因素、生长及营养摄入之间的关联。
邀请2012年至2017年间出生的EA患儿家长。从病历中收集临床数据。在一项前瞻性队列研究中，家长在两次评估时报告喂养困难情况（通过MCH-FS），并在第二次评估时，采用24小时食物回顾法收集饮食数据。
55名符合条件的参与者中，我们在中位年龄1.6岁（四分位间距Q1:Q3 1.0:2.9）时评估了53名儿童（首次评估），在中位年龄4.2岁（Q1:Q3 1.0:2.9）时评估了38名儿童（第二次评估）。分别有34%和31%的家长报告了喂养困难，但未发现特定的关注特征。儿童的能量摄入和年龄别体重与喂养困难（MCH-FS总分）相关（<0.02）。
三分之一的EA患儿存在家长报告的喂养困难，且与低能量摄入和低年龄别体重有关，但与临床因素无关。这意味着在所有EA患儿的随访过程中都必须筛查喂养困难情况，如有需要，这可能有助于早期发现问题并进行干预。
