Neonatal Outcome of Gastroschisis Is Mainly Influenced by Nutritional Management

Abstract

Early MEF and controlled increase of nutritional elements after bowel reintegration significantly improved outcome of gastroschisis in newborns.

Nutritional management and postoperative prognosis of newborns submitted to primary surgical repair of gastroschisis

“…A slow increase in the diet volume is suggested each day, as rapid increases in volume are not favorable. This has also been demonstrated by the studies performed by WalterNicolet et al 18 These authors stated that the introduction of early minimal enteral diet (low volume provided at the same rate for at least five days) can promote the growth of intestinal mucosa, optimize the maturation of intestinal muscle function, increase the release of hormones and local peptides, and alter the intestinal flora. Thus, enteral nutrition management helps to reduce complications of parenteral nutrition and accelerate the tolerance to enteral nutrition.…”

Nutrition Delivery and Growth Outcomes in Infants With Gastroschisis

“…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.…”

Use of a Gastroschisis Feeding Guideline to Improve Standardization of Care and Patient Outcomes at an Urban Children's Hospital

“…One key element associated with morbidity, mortality, and health outcomes of gastroschisis patients is their nutrition management . For example, a recent study showed that time from gastroschisis closure to first feed predicts outcomes in these infants .…”