{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T20:43:55Z","timestamp":1788381835337,"version":"build-2803163510"},"reference-count":15,"publisher":"Scientific Foundation Spiroski (publications)","issue":"7","license":[{"start":{"date-parts":[[2017,11,27]],"date-time":"2017-11-27T00:00:00Z","timestamp":1511740800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Open Access Maced J Med Sci"],"abstract":"<jats:p>BACKGROUND: A feeding disorder in infancy and during childhood is a complex condition involving different symptoms such as food refusal and faddiest, both leading to a decreased food intake.AIM: We aimed to assess the prevalence and predictor factors of feeding difficulties in children who underwent cardiac open heart surgery in neonatal period and infancy. We address selected nutritional and caloric requirements for children after cardiac surgery and explore nutritional interdependence with other system functions.\u00c2\u00a0METHODS: This was a retrospective study in a tertiary referral hospital, and prior approval from the institutional ethics committee was obtained. Information for 78 children (42 male and 36 female) was taken from patients charts. Data were analysed with descriptive statistics and logistic regression.RESULTS: From a cohort of analysed children with feeding problems we have occurred in 23% of such cases. At the time of the study, refusal to eat or poor appetite was reported as a significant problem in 19 children and subnormal height and weight were recorded in 11 children. Early neonatal intervention and reoperation were identified as risk factors for latter feeding difficulties or inadequate intake. Children with feeding problems also tended to eat less than children without feeding problems. There was a trend towards more feeding problems in patients with chromosomal abnormalities or other associated anomalies.CONCLUSION: Feeding disorder is often and a frequent long-term sequel in children after neonatal or early infancy heart surgery. Patients with chromosomal and associated anomalies who underwent multiple cardiac surgeries are at risk of developing feeding difficulties.<\/jats:p>","DOI":"10.3889\/oamjms.2017.205","type":"journal-article","created":{"date-parts":[[2017,11,29]],"date-time":"2017-11-29T05:09:38Z","timestamp":1511932178000},"page":"920-924","source":"Crossref","is-referenced-by-count":6,"title":["Kosovo\u00e2\u20ac\u2122s Experience for Children with Feeding Difficulties after Cardiac Surgery for Congenital Heart Defect"],"prefix":"10.3889","volume":"5","author":[{"given":"Ramush","family":"Bejiqi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ragip","family":"Retkoceri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hana","family":"Bejiqi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arlinda","family":"Maloku","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Armend","family":"Vuciterna","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naim","family":"Zeka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdurrahim","family":"Gerguri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rinor","family":"Bejiqi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"52292","published-online":{"date-parts":[[2017,11,27]]},"reference":[{"key":"37393","unstructured":"Thommessen M, Heiberg A, Kase BF. Feeding problems in children with congenital heart disease: the impact on energy intake and growth outcome. Eur J Clin Nutr. 1992;46:457-64. PMid:1623850"},{"key":"37394","doi-asserted-by":"crossref","unstructured":"Moller JH, Taubert KA, Allen HD, et al. Cardiovascular health and disease in children: current status. A Special Writing Group from the Task Force on Children and Youth, American Heart Association. Circulation. 1994;89:923-30. https:\/\/doi.org\/10.1161\/01.CIR.89.2.923 PMid:8313589","DOI":"10.1161\/01.CIR.89.2.923"},{"key":"37395","doi-asserted-by":"crossref","unstructured":"Perloff JK, Warnes CA. Challenges posed by adults with repaired congenital heart disease. Circulation. 2001;103:2637-43. https:\/\/doi.org\/10.1161\/01.CIR.103.21.2637","DOI":"10.1161\/01.CIR.103.21.2637"},{"key":"37396","doi-asserted-by":"crossref","unstructured":"Lipsitt LP, Crook C, Booth CA. The transitional infant: behavioural development and feeding. 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Acta Pediatr Scand. 1986;75:370 \u00e2\u20ac\u201c 379. https:\/\/doi.org\/10.1111\/j.1651-2227.1986.tb10217.x","DOI":"10.1111\/j.1651-2227.1986.tb10217.x"},{"key":"37400","doi-asserted-by":"crossref","unstructured":"Ilona M, Beatrice L, Hilda G et al. Prevalence and predictors factors of letter feeding disorders in children who underwent neonatal cardiac surgery for congenital heart disease. Card in the Young. 2011;21:303 \u00e2\u20ac\u201c 309. https:\/\/doi.org\/10.1017\/S1047951110001976 PMid:21272426","DOI":"10.1017\/S1047951110001976"},{"key":"37401","doi-asserted-by":"crossref","unstructured":"Bejiqi R, Retkoceri R, Zeka N, et al. Treatment of children with protein - losing enteropathy after Fontan and other complex congenital heart disease procedures in condition with limited human and technical resources. Mater Sociomed. 2014;26:39-42. https:\/\/doi.org\/10.5455\/msm.2014.26.39-42 PMid:24757400 PMCid:PMC3990394","DOI":"10.5455\/msm.2014.26.39-42"},{"key":"37402","doi-asserted-by":"crossref","unstructured":"Dahl M, Eklund G, Sundelin C. Early feeding problems in an affluent society. II. Determinants. Acta Pediatr Scand. 1986;75:380 \u00e2\u20ac\u201c 387. https:\/\/doi.org\/10.1111\/j.1651-2227.1986.tb10218.x","DOI":"10.1111\/j.1651-2227.1986.tb10218.x"},{"key":"37403","doi-asserted-by":"crossref","unstructured":"Dahl M. Early feeding problems in an affluent society. III. Follow-up at two years: natural course, health behaviour and development. Acta Pediatr Scand. 1987;76:872 \u00e2\u20ac\u201c 882. https:\/\/doi.org\/10.1111\/j.1651-2227.1987.tb17257.x PMid:3480683","DOI":"10.1111\/j.1651-2227.1987.tb17257.x"},{"key":"37404","unstructured":"Stein A. Barnes J. Feeding and sleep disorders. In: Rutter M (ed) Child and Adolescent Psychiatry, 4th edn. Blackwell Science, Oxford, 2002: 754 \u00e2\u20ac\u201c 775."},{"key":"37405","doi-asserted-by":"crossref","unstructured":"Morris CD, Maneshe VD. 25 year mortality after surgical repair of congenital heart defect in childhood. A population based study. JAMA. 1991;266:3447 \u00e2\u20ac\u201c 3452. https:\/\/doi.org\/10.1001\/jama.1991.03470240069035 PMid:1744959","DOI":"10.1001\/jama.1991.03470240069035"},{"key":"37406","doi-asserted-by":"crossref","unstructured":"Boneva RS, Botto LD, Moore CA et al. Mortality associated with congenital heart defects in the United States. Trends and racial disparities 1979 \u00e2\u20ac\u201c 1997. Circulation. 2000; 103: 2376 \u00e2\u20ac\u201c 2381. https:\/\/doi.org\/10.1161\/01.CIR.103.19.2376","DOI":"10.1161\/01.CIR.103.19.2376"},{"key":"37407","doi-asserted-by":"crossref","unstructured":"Limperopolous C, Majnemer A, Shevell MI, et al. Neurodevelopmental status of new-borns and infants with congenital heart defects before and after open heart surgery. 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