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Clinical Pediatrics
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Reinstituting Oral Feedings in Children Fed by Gastrostomy Tube

James A. Blackman

Department of Pediatrics, University of Iowa, Iowa City, IA 52242

Christy L. A. Nelson

From the Division of Developmental Disabilities, Department of Pediatrics, University of Iowa, Iowa City, Iowa.

Children with gastrostomies may return to oral feedings provided the health problem which led to its placement has resolved, stabilized, or been corrected. However, attempts to accomplish this are likely to be met with resistance from the child, including gagging, choking, biting, and vomiting. Aspiration and even fatal airway obstruction are possible. Seventeen children with gastrostomies were evaluated to determine appropriateness for oral feedings. Only 10 of this group were deemed acceptable candidates. Five were managed successfully as outpatients and four as inpatients. One patient with dysphagia aspirated, and oral feedings were discontinued. Selection criteria and management methods are described.

Clinical Pediatrics, Vol. 24, No. 8, 434-438 (1985)
DOI: 10.1177/000992288502400803


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This article has been cited by other articles:


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CLIN PEDIATRHome page
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Clinical Pediatrics, January 1, 2001; 40(1): 27 - 33.
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S. Gutentag and D. Hammer
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[Abstract] [PDF]