Intermittent Bolus or Semicontinuous Feeding for Preterm Infants?

Rövekamp-Abels, Lyanne W.W.; Hogewind-Schoonenboom, Jacomine E.; Wijs-Meijler, Daphne P.M. de; Maduro, Margaux D.; Weide, Marijke C. Jansen-van der; Goudoever, Johannes B. van; Hulst, Jessie M.

doi:10.1097/mpg.0000000000000888

Cited by 37 publications

(39 citation statements)

References 27 publications

(34 reference statements)

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“…Our enteral and parenteral nutrition protocol has been described previously20. If expressed breast milk was insufficiently available, preterm formula was supplemented (Nenatal Start ® , Nutricia, Zoetermeer, The Netherlands).…”

Section: Methodsmentioning

confidence: 99%

Necrotising enterocolitis and mortality in preterm infants after introduction of probiotics: a quasi-experimental study

Samuels

Graaf

Been

et al. 2016

Sci Rep

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Evidence on the clinical effectiveness of probiotics in the prevention of necrotising enterocolitis (NEC) in preterm infants is conflicting and cohort studies lacked adjustment for time trend and feeding type. This study investigated the association between the introduction of routine probiotics (Lactobacillus acidophilus and Bifidobacterium bifidum; Infloran®) on the primary outcome ‘NEC or death’. Preterm infants (gestational age <32 weeks or birth weight <1500 gram) admitted before (Jan 2008–Sep 2012; n = 1288) and after (Oct 2012–Dec 2014; n = 673) introduction of probiotics were compared. Interrupted time series logistic regression models were adjusted for confounders, effect modification by feeding type, seasonality and underlying temporal trends. Unadjusted and adjusted analyses showed no difference in ‘NEC or death’ between the two periods. The overall incidence of NEC declined from 7.8% to 5.1% (OR 0.63, 95% CI 0.42–0.93, p = 0.02), which was not statistically significant in the adjusted models. Introduction of probiotics was associated with a reduced adjusted odds for ‘NEC or sepsis or death’ in exclusively breastmilk-fed infants (OR 0.43, 95% CI 0.21–0.93, p = 0.03) only. We conclude that introduction of probiotics was not associated with a reduction in ‘NEC or death’ and that type of feeding seems to modify the effects of probiotics.

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Section: Methodsmentioning

confidence: 99%

Necrotising enterocolitis and mortality in preterm infants after introduction of probiotics: a quasi-experimental study

Samuels

Graaf

Been

et al. 2016

Sci Rep

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“…The continuous feedings were associated with more total apneic periods, more apneic periods lasting >20 s and more hypoxic episodes when compared to bolus feedings. In a randomized trial of intermittent bolus or semicontinuous nasogastric tube feedings in 246 low birth weight preterm infants, Rövekamp-Abels et al found significantly lower mean daily gastric residual volumes in the bolus group (69). However, gastroesophageal reflux, respiratory complications, and time to full oral feeds were not assessed as outcomes in this population.…”

Section: Management Of Oropharyngeal Dysphagia-associated Feeding Difmentioning

confidence: 99%

Feeding Problems and Their Underlying Mechanisms in the Esophageal Atresia–Tracheoesophageal Fistula Patient

Mahoney

Rosen

2017

Front. Pediatr.

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Feeding difficulties such as dysphagia, coughing, choking, or vomiting during meals, slow eating, oral aversion, food refusal, and stressful mealtimes are common in children with repaired esophageal atresia (EA) and the reasons for this are often multifactorial. The aim of this review is to describe the possible underlying mechanisms contributing to feeding difficulties in patients with EA and approaches to management. Underlying mechanisms for these feeding difficulties include esophageal dysphagia, oropharyngeal dysphagia and aspiration, and aversions related to prolonged gastrostomy tube feeding. The initial diagnostic evaluation for feeding difficulties in a patient with EA may involve an esophagram, videofluoroscopic imaging or fiberoptic endoscopic evaluation during swallowing, upper endoscopy with biopsies, pH-impedance testing, and/or esophageal motility studies. The main goal of management is to reduce the factors contributing to feeding difficulties and may include reducing esophageal stasis, maximizing reflux therapies, treating underlying lung disease, dilating strictures, and altering feeding methods, routes, or schedules.

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“…After day 3, the intervention ended and thereafter the attending physician followed the local standardized protocol . The enteral nutrition (EN) protocol included minimal enteral feeding at day 1 and a daily gradual increment of approximately 20 mL/(kg·d) of enteral bolus feeding from day 2 or 3 onward until 150–180 mL/(kg·d) was reached.…”

Section: Methodsmentioning

confidence: 99%

Two‐Year Follow‐up of a Randomized Controlled Nutrition Intervention Trial in Very Low‐Birth‐Weight Infants

Roelants

Vlaardingerbroek

Akker

et al. 2017

J Parenter Enteral Nutr

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Intermittent Bolus or Semicontinuous Feeding for Preterm Infants?

Abstract: Bolus and continuous feeding are equally suitable feeding strategies for preterm neonates. BOL feeding, however, may be preferable.

Cited by 37 publications

References 27 publications

Necrotising enterocolitis and mortality in preterm infants after introduction of probiotics: a quasi-experimental study

Necrotising enterocolitis and mortality in preterm infants after introduction of probiotics: a quasi-experimental study

Feeding Problems and Their Underlying Mechanisms in the Esophageal Atresia–Tracheoesophageal Fistula Patient

Two‐Year Follow‐up of a Randomized Controlled Nutrition Intervention Trial in Very Low‐Birth‐Weight Infants

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