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Copyright ©The Author(s) 2023.
World J Clin Pediatr. Sep 9, 2023; 12(4): 197-204
Published online Sep 9, 2023. doi: 10.5409/wjcp.v12.i4.197
Table 2 Nutritional and gastrointestinal management in children with Duchenne muscular dystrophy
Issue
Evidence
Tube feedingLow to high probability (based on the stage of the disease)
Energy needsMeet DRI
FormulaNo special diet or formula
ONSPossible; consider a speech-language therapist evaluation
Gastroesophageal refluxProton pump inhibitors; consider hydrolyzed or natural food enteral formulas
ConstipationPEG; consider hydrolyzed or natural food enteral formulas
Delayed gastric emptyingMeet fiber and fluid needs; prokinetics may be used