Evidence map›Paper›PMID 40485512›Full record

ArticleJournal of pediatric gastroenterology and nutrition2025

Blended diets and effects on gastrointestinal symptoms in children with gastrostomy tubes: A survey study.

Elena Scarpato, Linda Varcamonti, Silvia Salvatore, Claudio Romano, Francesca Marino, Maria Rosaria Serra, Massimo Martinelli, Erasmo Miele, Annamaria Staiano

Abstract read
In one paragraph

Article in Journal of pediatric gastroenterology and nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Elena ScarpatoDepartment of Translational Medical Science, Section of Pediatrics, University of Naples Federico II, Naples, Italy.
Linda VarcamontiDepartment of Translational Medical Science, Section of Pediatrics, University of Naples Federico II, Naples, Italy.
Silvia SalvatorePediatric Department, Hospital 'F. Del Ponte', University of Insubria, Varese, Italy.
Claudio RomanoDepartment of Human Pathology, Pediatric Gastroenterology and Cystic Fibrosis Unit, University of Messina, Messina, Italy.
Francesca MarinoDepartment of Clinical Medicine and Surgery, Endocrinology Unit, University of Naples Federico II, Naples, Italy.
Maria Rosaria SerraDepartment of Translational Medical Science, Section of Pediatrics, University of Naples Federico II, Naples, Italy.
Massimo MartinelliDepartment of Translational Medical Science, Section of Pediatrics, University of Naples Federico II, Naples, Italy.
Erasmo MieleDepartment of Translational Medical Science, Section of Pediatrics, University of Naples Federico II, Naples, Italy.ORCID https://orcid.org/0000-0003-4498-7305
Annamaria StaianoDepartment of Translational Medical Science, Section of Pediatrics, University of Naples Federico II, Naples, Italy.

Funding

None
6 · The paper itself

Abstract

objectivesInterest is growing in the use of blended diets (BD) in children with gastrostomy. Evidence supporting the benefits of BD is conflicting, with limited data to assist physicians in clinical practice. The present survey aims to evaluate current use of BD in children and adolescents with gastrostomy.

methodsAn online survey evaluating the use of BD in children with gastrostomy was sent to members of the European Society for Pediatric Gastroenterology, Hepatology and Nutrition with expertise on gastrointestinal motility. The questions assessed clinical indications, level of experience, preferred diet composition, and clinical outcomes.

resultsWe collected 26 questionnaires filled out by members from 13 different countries. Most of the respondents (84.6%) are pediatric gastroenterologists, with 69.2% visiting gastrostomy patients on a daily/weekly basis. The majority of the sample (61.5%) declares to use BD, but only in selected conditions, and only 38.5% reports an advanced experience with BD. The main reason for BD prescription is parental request (53.8%). In addition, 57.7% prefers homemade BD compared to only 15.4% that relies on commercial BD. Finally, 69.2% states to find an impact on gastrointestinal symptoms. Positive clinical outcomes are reported for vomiting (61.1%), constipation (50%), nausea (38.9%), and bloating (38.9%). The main reason for not using BD is the non-standard nutritional composition.

conclusionsBD are commonly used in clinical practice. However, due to the lack of conclusive evidence and well-designed studies, there is great variability in diet composition and clinical indications. Given the increasing demand from caregivers and the potential positive outcomes, further studies are needed to provide insights and guide healthcare professionals in their clinical practice.

Indexed as

DietEnteral NutritionGastrointestinal DiseasesGastrostomyPractice Patterns, Physicians'AdolescentChildChild, PreschoolFemaleHumansMaleSurveys and Questionnairesclinical practiceenteral nutritionfeeding intolerancehome‐made feedsintestinal motility

Identifiers

PMID40485512
PMCPMC12314571

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.