{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:12:00Z","timestamp":1787015520486,"version":"build-2736575974"},"reference-count":27,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,5,12]],"date-time":"2020-05-12T00:00:00Z","timestamp":1589241600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Human Nutrition Diet"],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The present study reports a case series where three adolescent patients with anorexia nervosa (AN) (two cases with typical AN and one case atypical AN) received nasogastric tube feeding under restraint in line with new dietetic clinical guidelines.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Three cases were chosen out of 61 admitted patients over the period of 1\u00a0year who were fed via a nasogastric tube under restraint in a specialist eating disorders unit for children and adolescents. These cases were chosen to highlight a range of clinical scenarios that clinicians may encounter. They also represent clinical scenarios where decisions to feed patients under restraint were rendered more complex by additional concerns.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Despite the complexity of the cases, all patients tolerated the feeds well and were discharged home eating solid food.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The decision to feed a patient against their will is never an easy one. Sadly, there have been some recent high\u2010profile deaths of adult patients on medical wards where treatment opinion was not considered, and the patient received no or minimal nutrition when awaiting specialist treatment. Dietetic guidelines have been published to help inform clinicians for whom feeding under restraint may be out of the scope of their daily practice. This case series highlights clinical scenarios that illustrate the utility of the guidelines, which we hope will support clinicians when making, potentially lifesaving decisions in children and young people.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jhn.12765","type":"journal-article","created":{"date-parts":[[2020,5,12]],"date-time":"2020-05-12T05:05:56Z","timestamp":1589259956000},"page":"33-41","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Nasogastric tube feeding in line with new dietetic guidelines for the treatment of anorexia nervosa in a specialist children and adolescent inpatient unit: a case series"],"prefix":"10.1111","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2159-6582","authenticated-orcid":false,"given":"P.","family":"Falcoski","sequence":"first","affiliation":[{"name":"Rhodes Wood Hospital Elysium Healthcare London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"U.","family":"Philpot","sequence":"additional","affiliation":[{"name":"Leeds Beckett University Leeds UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Tan","sequence":"additional","affiliation":[{"name":"Aneurin Bevan University Health Board Wales UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L. D.","family":"Hudson","sequence":"additional","affiliation":[{"name":"GOSH UCL Institute of Child Health London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2863-158X","authenticated-orcid":false,"given":"S. J.","family":"Fuller","sequence":"additional","affiliation":[{"name":"East London NHS Foundation Trust Bedford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,5,12]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"British Dietetic Association(2019)\u2018Naso\u2010Gastric Tube feeding under restraint \u2013 Dietetic Practice Guidelines\u2019.https:\/\/www.bda.uk.com\/regionsgroups\/groups\/mentalhealth\/groupresources\/ngt_feeding_under_restraint.pdf(accessed July 2019)."},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.152.7.1073"},{"key":"e_1_2_7_4_1","unstructured":"World Health Organization(2018)International Classification of Diseases for Mortality and Morbidity Statistics (11th Revision).https:\/\/icd.who.int\/browse11\/l\u2010m\/en(accessed July 2019)."},{"key":"e_1_2_7_5_1","unstructured":"NICE Guideline(2017)Eating Disorders: Recognition and Treatment.http:\/\/www.nice.org.uk\/guidance\/ng69(accessed July 2019)."},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/10640266.2018.1471921"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2011.06.011"},{"key":"e_1_2_7_8_1","unstructured":"Department of Health(2015)Mental Health Act 1983 Code of Practice."},{"key":"e_1_2_7_9_1","first-page":"2177","article-title":"\u2018Junior MARSIPAN: Management of Really Sick Patients under 18 with Anorexia Nervosa\u2019 CR168","volume":"41","author":"Royal College of Psychiatrists","year":"2012","journal-title":"Psychol Med"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijlp.2003.09.009"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1353\/ppp.2007.0032"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.12968\/bjmh.2019.8.3.124"},{"key":"e_1_2_7_13_1","unstructured":"Parliamentary and Health Services Ombudsman(2017)Ignoring the Alarms: How 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