Food consumption by children and adolescent with dysphagia due to esophageal stricture
assessment based on the Brazilian food guide pyramid
Keywords:
Food consumption, Esophageal stenosis, Food pyramid, Deglutition disordersAbstract
Objective
This study assessed food intake by patients with dysphagia due to esophageal stricture and compared liquid, soft and solid diets based on the Brazilian Food guide pyramid.
Methods
This cross-sectional study consecutively included 31 patients with esophageal stricture, of which 18 (58.0%) were caustic, 7 (22.6%) were postoperative, 3 (9.7%) were peptic and 3 (9.7%) were of unknown etiology. The 24-hour dietary recall was used and the foods were converted into servings according to the eight food groups, as recommended by Philippi. The Kruskal-Wallis and Fisher’s Exact Test were used and the significance level was set at 5%.
Results
The ages of the patients varied from 15 to 176 months (median: 56 months). There were 28 children and 3 adolescents, of which 28 were males. Twenty-nine patients (93.5%) presented dysphagia, of which 34.4% (10/29) were severe, 41.3% (12/29) were moderate and 24.1% (7/29) were mild. The median intake of grain, legume and fat servings was smaller in the liquid diet group (p<0.005). This group also had a significantly greater proportion of patients whose intakes were below those recommended by the food pyramid (p<0.05).
Conclusion
Nutritional support is extremely important in the treatment of patients with esophageal stricture, especially those with severe dysphagia. These patients need a liquid diet because of the nutritional risk associated with inadequate food intake, which also allows early introduction of the dietary treatment.
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References
Pereira-Lima JC, Marroni C, Cheinquer N, Marques DL, Hornos AP, Galant L, et al. Dilatação endoscópica de esôfago sem o auxílio de fluoroscopia: experiência em 1358 sessões. GED. 2002; 21(5): 201-6.
Michaud L, Guimber D, Sfeir R, Rakza T, Bajja H, Bonnevalle M, et al. Sténose anastomotique après traitement chirurgical de l’atrésie de l’aesophage: fréquence, facteurs de risque et efficacité dês dilatations aesophagiennes. Arch Pédiatr. 2001; 8(3):268-74
Chittmittrapap S, Spitz L, Kliely ME, Brereton RJ. Anastomotic stricture following repair of esophageal atresia. J Pediatr Surg. 1990; 25(5): 508-11.
Van der Zee VD, Bax KN. Thoracoscopic treatment of esophageal atresia with distal fistula and of tracheomalacia. Semin Pediatr Surg. 2007; 16(4): 224-30.
O’Neill JA, Betts J, Ziegler MM, Schnaufer L, Bishop HC, Templeton J. Surgical management of reflux strictures of the esophagus in childhood. Ann Surg. 1982; 196(4):453-9.
Rode H, Millar AJ, Brown RA, Cywes S. Reflux strictures of the esophagus in children. J Pediatr Surg. 1992; 27(4):462-5.
Numanoglu A, Millar AJ, Brown RA, Rode H. Gastroesophageal reflux strictures in children, management and outcome. Pediatr Surg Int. 2005; 21(8):631-4.
Poley JW, Steyerberg EW, Kuipers EJ, Dees J, Hartmans R, Tilanus HW, et al. Ingestion of acid and alkaline agents: outcome and prognostic value of early upper endoscopy. Gastrointest Endosc. 2004; 60(3):372-77.
Doan Y, Erkan T, Çokugras FÇ, Kutlu T. Caustic gastroesophageal lesion in childhood: analysis of 473 cases. Clin Pediatr. 2006; 45(5):435-8
Casasnovas AB, Martinez EE, Cives RV, Jeremias AV, Sierra RT, Cadranel S. A retrospective analysis of ingestion of caustic substances by children: tenyear statistics in Galicia. Eur J Pediatr. 1997; 156(5): 410-4
Mamede RCM, Filho FVM. Ingestion of caustic substances and its complications. São Paulo Med J. 2001; 119(1):10-5
Lamireau T, Llanas B, Deprez C, Hammar FE, Vergnes P, Demarquez JL, et al. Gravité des ingestions de produits caustiques chez l’enfant. Arch Pediatr. 1997; 4(6):529-34.
Hodge GE, Scharfe EE. Strictures of the esophagus. Can Med Assoc J. 1937; 37(6):541-7.
Contini S, Tesfaye M, Picone P, Pacchione D, Kuppers B, Zambianchi C, et al. Corrosive esophageal injures in children: a shortlived experience in Sierra Leone. Int J Pediatr Otorhinolaryngol. 2007; 71(10):1597-604.
Ko HK, Shin JH, Song HY, Kim YJ, Ko GY, Yoon HK. Balloon dilation of anastomotic strictures secondary to surgical repair of esophageal atresia in a pediatric population: long-term results. J Vasc Interv Radiol. 2006; 17(8):1327-33.
Güitrón A, Adalid R, Nares J, Mena G, Gutiérrez JÁ, Olivares C. Estenosis esofágica benigna en pacientes lactantes y preescolares. Resultados de dilatación endoscópica. Rev Gastroenterol Mex. 1999; 64(1):12-5.
Hiley SA, Attwood SEA. Guidelines on the use of oesophageal dilatation in clinical practice. Gut. 2004; 53(1):11-6.
Kaiser LL, Melgar-Quiñonez HR, Lamp CL, Johns MC, Sutherlin JM, Harwood JO. Food security and nutritional outcomes of preschool-age Mexican- -American children. J Am Diet Assoc. 2002; 102(7): 924-9
Philippi ST, Cruz ANT, Colucci AMA. Pirâmide alimentar para crianças de 2 a 3 anos. Rev Nutr. 2003; 16(1):5-19. doi: 10.1590/S1415-5273200300100 002.
Barbosa RMS, Croccia C, Carvalho CGN, Franco VC, Salles-Costa R, Soares EA. Consumo alimentar de crianças com base na pirâmide alimentar brasileira infantil. Rev Nutr. 2005; 18(5):633-41. doi: 10.1590/S1514-52732005000500006.
Fulgoni V, Nicholls J, Reed A, Buckley R, Kafer K, Huth P. Dairy consumption and related nutrient intake in African-American adults and children in the United States: continuing survey of food intakes by individuals 1994-1996, 1998, and the National Health And Nutrition Examination Survey 1999-2000. J Am Diet Assoc. 2007; 107(2):256-64.
Freudenheim JL. A review of study designs and methods of dietary assessment in nutritional epidemiology of chronic disease. J Nutr. 1993; 123(2):401-5.
Thompson FE, Byers T. Dietary assessment resource manual. J Nutr. 1994; 124(11):2245-317
Monte CMG, Giugliani ERJ, Carvalho MFCC, Philippi ST, Albuquerque ZPA. Guia alimentar para crianças menores de dois anos Brasília: Ministério da Saúde; 2002. p.87-97. Série A. Normas e Manuais Técnicos, 107.
Philippi ST, Latterza AR, Cruz ATR, Ribeiro LC. Pirâmide alimentar adaptada: guia para escolha dos alimentos. Rev Nutr. 1999; 12(1):65-80. doi: 10.15 90/S1514-52731999000100006.
Quinton A. Jandel SigmaStat: Scientific statistical software, version 2.0. San Rafael (California); 1995.
Ferguson DD. Evaluation and management of benign esophageal strictures. Dis Esophagus. 2005; 18(6):359-64.
Pehl C, Pfeiffer A, Waizenhoefer A, Wendl B, Schepp W. Effect of caloric density of a meal on lower oesophageal sphincter motility and gastrooesophageal reflux in healthy subjects. Aliment Pharmacol Ther. 2001; 15(2):233-9.
Fox M, Barr C, Nolan S, Lomer M, Anggiansah A, Wong T. The effects of dietary fat and calorie density on esophageal acid exposure and reflux symptoms. Clin Gastroenterol Hepatol. 2007; 5(4):439-44
Oncag O, Alpoz AR, Eronat C. Salivary Streptococcus mutans, Lactobacilli levels and buffer capacity in children with esophageal burns. J Clin Pediatr Dent. 2000; 24(2):147-51.
Gersovitz M, Madden JP, Smiciklas-Wright H. Validity of the 24-hr dietary recall and seven-day record for group comparisons. J Am Dietetic Assoc. 1978; 73(1):48-55.
Sempos CT, Johnson NE, Smith EL Gilligan C. Effects of intraindividual and interindividual variation in repeated dietary records. Am J Epidemiol. 1985; 121(1):20-30.
Palaniappan U, Cue RI, Payette H, Gray-Donald K. Implications of day-to-day variability on measurements of usual food and nutrient intakes. J Nutr. 2003; 133(1):232-5.
Cavalcante AAM, Priore SE, Franceschini SCC. Estudos de consumo alimentar: aspectos metodológicos gerais e o seu emprego na avaliação de crianças e adolescentes. Rev Bras Saúde Matern Infant. 2004; 4(3):229-40.
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