Got Milk? Effects of Early Enteral Feedings in Patients With Gastroschisis

Abstract

Consideration for future studies include incorporating strategies that combine early enteral feeding initiatives with interventions that allow for quicker onset of full enteral intake.

Nutrition Delivery and Growth Outcomes in Infants With Gastroschisis

“…Although we did not identify nutrition delivery characteristics that were associated with WAZ or decline in WAZ between birth and discharge, the time to achieving enteral autonomy remains a potentially important outcome. PN dependence is associated with increased CLABSI risk, cholestasis, longer length of stay, and intestinal failure . Interestingly in our cohort, time to initiation of EN was not independently associated with time to enteral autonomy when also considering prematurity, atresia, CLABSI, and type of closure.…”

“…PN dependence is associated with increased CLABSI risk, cholestasis, longer length of stay, and intestinal failure. 8,22,25 Interestingly in our cohort, time to initiation of EN was not independently associated with time to enteral autonomy when also considering prematurity, atresia, CLABSI, and type of closure. Other studies have suggested that protocolized feeding with earlier initiation of EN, at around day 7 of life or 1 week after abdominal closure, may be associated with shorter PN dependence and length of stay.…”

“…Interestingly in our cohort, time to initiation of EN was not independently associated with time to enteral autonomy when also considering prematurity, atresia, CLABSI, and type of closure. Other studies have suggested that protocolized feeding with earlier initiation of EN, at around day 7 of life or 1 week after abdominal closure, may be associated with shorter PN dependence and length of stay . Earlier initiation of EN is likely a marker for milder disease severity.…”

“…Nutrition practices during intensive care unit (ICU) and hospital stay may influence growth in this cohort and warrant examination. Unfortunately, there are wide variations in practice across centers, and the optimal nutrition management strategy is unclear . We sought to describe nutrition management and growth up to 1 year among infants with gastroschisis treated at our institution.…”

“…Unfortunately, there are wide variations in practice across centers, and the optimal nutrition management strategy is unclear. [6][7][8][9] We sought to describe nutrition management and growth up to 1 year among infants with gastroschisis treated at our institution. We also aimed to identify predictors of impaired growth.…”