Graeme O'Connor
Great Ormond Street Hospital Foundation Trust, UK
Scientific Tracks Abstracts: Gen Med (Los Angeles)
Blended foods via a feeding tube are becoming popular amongst parents of children requiring long term tube feeding. 1. A tolerance and acceptability study for a new paediatric tube feed with food derived ingredients - Isosource Junior Mix (ISJMIX) was conducted in 2018 and found improvements in stool consistency/ frequency, retching and reflux. 2. A follow up study RICIMIX was conducted during March 2021 to July 2021 across four National Health Services Trusts (UK). A Microsoft form was used to capture anthropometric and gastrointestinal outcomes over a month period when patients switched feed to ISJMIX. Data was completed for 35 children, 19% had cerebral palsy and 19% had epilepsy as primary diagnosis. The common route of feeding was bolus (57%) via a PEG tube (57%). Improvements seen with switch to ISJMIX included gagging, reflux and retching for 16 (46%) children; 13 (37%) gas/ bloating, 8 (23%) vomiting, 8 (23%) loose stools. Six (17%) children saw improvements with constipation resulting in a reduction or cessation of medication. 13 (37%) children reported improved weight within the one month study period. Interestingly, 12 (34%) children saw changes in feeding patterns such as less time spent on feeding, simplified feeding regimens enabling families to go on holidays. 29 (83%) of dietitians felt the new feed achieved tolerance goals for children. 30 (85%) of children experienced an improvement in feed tolerance within one week. Our clinical experience in this real-world evidence-type study showed meaningful improvements in paediatric patients fed with food derived enteral formula.
Graeme O’Connor, Great Ormond Street Hospital Foundation Trust, London. Marie Watson, Sheffield Children’s NHS Foundation Trust, Sheffield. Martha Van Der Linde, Herefordshire and Worcestershire Health and Care NHS Trustr. Rita Shergill Bonner and Julia Hopkins, Evelina London Children’s Hospital, London. Sharan Saduera, Nestle Health Science, Gatwick.
