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Commentary on: Fraser LK, Bedendo A, O'Neill M, et al. Safety, resource use and nutritional content of home-blended diets in children who are gastrostomy fed: findings from ‘YourTube’ – a prospective cohort study. Arch Dis Child. 2023:archdischild-2023–3 26 393. Online ahead of print.
Home-blended diets are safe alternatives to commercial formulas, provided there is no specific clinical contraindication. High-quality randomised controlled studies are required to examine any differences in long-term outcomes in children who are fed home-blended gastrostomy-delivered diets versus those on commercial formulas.
Gastrostomy tube feeding is a well-established safe and relatively common way of delivering nutrients to the gastrointestinal tract in individual who cannot use the oral route. In children, there are several indications for using chronic gastrostomy tube feeding, including neurodevelopmental conditions, cardiac problems, metabolic conditions, gastrointestinal diseases and malignancy.
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