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Feeding Changes in Children With Trisomy 18: Longitudinal Data on Primary Feeding Method and Reflux Identification and Treatment

Bruns, Deborah A. PhD; Springer, Stacey A. BS

doi: 10.1097/01.TIN.0000437408.58941.d4
Pediatric Nutrition Issues

Research indicates that approximately 40% to 70% of children with disabilities are identified and treated for feeding difficulties such as reflux. The available literature on children with trisomy 18 does not describe feeding needs or treatment. The results described here address primary feeding method along with identification and longitudinal treatment of gastroesophageal reflux in 10 children with trisomy 18. Data indicate videofluoroscopic swallowing study as the primary diagnostic procedure and treatment with medication as largely effective. The majority of the sample also moved to tube feedings to address feeding difficulties. It is hoped that this information is an initial step to further understanding the nutritional needs of this unique population. Implications for practice and a need for further research are recommended.

Department of Educational Psychology and Special Education, Southern Illinois University Carbondale, MC 4618, Carbondale, Illinois.

Correspondence: Deborah A. Bruns, PhD, Department of Educational Psychology and Special Education, Southern Illinois University Carbondale, MC 4618, Carbondale, IL 62901 (dabruns@siu.edu).

The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article.

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