{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T16:02:11Z","timestamp":1789574531742,"version":"build-2803163510"},"reference-count":50,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,3,2]],"date-time":"2024-03-02T00:00:00Z","timestamp":1709337600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["aspenjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Parenter Enteral Nutr"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Feeding problems are common in children with complex medical problems or acute critical illness and enteral nutrition may be required. In certain situations, gastric tube feeding is poorly tolerated or may not be feasible. When feed intolerance persists despite appropriate adjustments to oral and gastric enteral regimens, jejunal tube feeding can be considered as an option for nutrition support.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A multidisciplinary expert working group of the Australasian Society of Parenteral and Enteral Nutrition was convened. They identified topic questions and five key areas of jejunal tube feeding in children. Literatures searches were undertaken on Pubmed, Embase, and Medline for all relevant studies, between January 2000 and September 2022 (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009103). Studies were assessed using National Health and Medical Research Council guidelines to generate statements, which were discussed as a group, followed by voting on statements using a modified Delphi process to determine consensus.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 24 consensus statements were created for five key areas: patient selection, type and selection of feeding tube, complications, clinical use of jejunal tubes, follow\u2010up, and reassessment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Jejunal tube feeding is a safe and effective means of providing nutrition in a select group of pediatric patients with complex medical needs, who are unable to be fed by gastric tube feeding. Appropriate patient selection is important as complications associated with jejunal tube feeding are not uncommon, and although mostly minor, can be significant or require tube reinsertion. All children receiving jejunal tube feeding should have multidisciplinary team assessment and follow\u2010up.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jpen.2615","type":"journal-article","created":{"date-parts":[[2024,3,2]],"date-time":"2024-03-02T07:34:03Z","timestamp":1709364843000},"page":"337-344","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["A clinical consensus paper on jejunal tube feeding in children"],"prefix":"10.1002","volume":"48","author":[{"given":"Kathleen H.","family":"McGrath","sequence":"first","affiliation":[{"name":"Department of Gastroenterology and Clinical Nutrition The Royal Children's Hospital Melbourne Victoria Australia"},{"name":"Department of Paediatrics The University of Melbourne Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tanya","family":"Collins","sequence":"additional","affiliation":[{"name":"Department of Nutrition and Dietetics Perth Children's Hospital Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annabel","family":"Comerford","sequence":"additional","affiliation":[{"name":"Nutrition Department Women's and Children's Hospital Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zoe","family":"McCallum","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Clinical Nutrition The Royal Children's Hospital Melbourne Victoria Australia"},{"name":"Department of Paediatrics The University of Melbourne Melbourne Victoria Australia"},{"name":"Department of Neurodevelopment and Disability The Royal Children's Hospital Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4956-9444","authenticated-orcid":false,"given":"Michaela","family":"Comito","sequence":"additional","affiliation":[{"name":"Department of Nutrition and Food Services The Royal Children's Hospital Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kim","family":"Herbison","sequence":"additional","affiliation":[{"name":"Department of Paediatric Dietetics Starship Children's Hospital Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivia Rose","family":"Cochrane","sequence":"additional","affiliation":[{"name":"Department of Paediatric Dietetics Starship Children's Hospital Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deirdre Mary","family":"Burgess","sequence":"additional","affiliation":[{"name":"Department of Paediatric Gastroenterology John Hunter Children's Hospital Newcastle New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Kane","sequence":"additional","affiliation":[{"name":"Department of Dietetics and Food Services Queensland Children's Hospital Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keryn","family":"Coster","sequence":"additional","affiliation":[{"name":"Department of Nutrition and Food Services The Royal Children's Hospital Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michele","family":"Cooper","sequence":"additional","affiliation":[{"name":"Department of Paediatric Gastroenterology John Hunter Children's Hospital Newcastle New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathryn","family":"Jesson","sequence":"additional","affiliation":[{"name":"Department of Paediatric Gastroenterology John Hunter Children's Hospital Newcastle New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,3,2]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/MPG.0000000000002379"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13052-020-0800-1"},{"key":"e_1_2_8_4_1","unstructured":"National Health and Medical Research Council (NHMRC). 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