Transpyloric versus gastric tube feeding for preterm infants

Abstract

Transpyloric versus gastric tube feeding for preterm infants.

Transpyloric tube feeding in very low birthweight infants with suspected gastroesophageal reflux: impact on apnea and bradycardia

“…There were no differences in NEC, spontaneous perforation, sepsis or aspiration pneumonia. [12] While 7% of the babies in our study population developed NEC while receiving TPT feeds, this was similar to the number who developed NEC before or after receiving TPT feedings. Of note, 40% of the infants in our study received maternal breastmilk (non-donor) during TPT feedings and none of those infants developed NEC, while 15% of the infants received hydrolysate based formula during TPT feeds and over one third of them developed NEC.…”

Transpyloric tube feeding in very low birthweight infants with suspected gastroesophageal reflux: impact on apnea and bradycardia

“…There were no differences in NEC, spontaneous perforation, sepsis or aspiration pneumonia. [12] While 7% of the babies in our study population developed NEC while receiving TPT feeds, this was similar to the number who developed NEC before or after receiving TPT feedings. Of note, 40% of the infants in our study received maternal breastmilk (non-donor) during TPT feedings and none of those infants developed NEC, while 15% of the infants received hydrolysate based formula during TPT feeds and over one third of them developed NEC.…”

Improving Clinical Outcomes of Very Low Birth Weight Infants by Early Standardized Nutritional Management

“…20 To date, studies have not provided conclusive evidence in support of one particular method of feeding but transpyloric feedings may be associated with greater incidence of gastrointestinal disturbances. 21 There was no significant difference in the incidence of NEC, intestinal perforation, and aspiration pneumonia, showing that there was no benefit from transpyloric feeding. In a meta-analysis of 9 trials, the effect of feeding via gastric versus transpyloric route on growth and feeding tolerance resulted in no difference in outcomes and no difference in incidence of adverse effects.…”

“…In a meta-analysis of 9 trials, the effect of feeding via gastric versus transpyloric route on growth and feeding tolerance resulted in no difference in outcomes and no difference in incidence of adverse effects. 21 Breast milk in premature infants has been the substrate of choice and standard of care in institutions across the nation as the benefits of human milk are numerous and well established. Breast milk improves fat absorption, gastric emptying, stooling frequency, along with decreased rate of sepsis, incidence of NEC, retinopathy of prematurity, and improves psychomotor development at 18 months of age and higher intellectual performance scores at 8 years of age.…”

An evaluation of enteral feeding practices in critically ill children

“…There is conflicting evidence about the usefulness of post‐pyloric feeding and whether it improves feed tolerance and reduces aspiration in critically ill neonates, children and adults (Meert et al 2004; McGuire and McEwan 2007; de Neef et al 2008; McClave et al 2009). Additionally, correct placement of the post‐pyloric feeding tube (and ensuring this position consistently) is often problematic and is not a standard practice in our PICU.…”

Transpyloric tube feeding in very low birthweight infants with suspected gastroesophageal reflux: impact on apnea and bradycardia

“…There were no differences in NEC, spontaneous perforation, sepsis or aspiration pneumonia. [12] While 7% of the babies in our study population developed NEC while receiving TPT feeds, this was similar to the number who developed NEC before or after receiving TPT feedings. Of note, 40% of the infants in our study received maternal breastmilk (non-donor) during TPT feedings and none of those infants developed NEC, while 15% of the infants received hydrolysate based formula during TPT feeds and over one third of them developed NEC.…”

Improving Clinical Outcomes of Very Low Birth Weight Infants by Early Standardized Nutritional Management

“…20 To date, studies have not provided conclusive evidence in support of one particular method of feeding but transpyloric feedings may be associated with greater incidence of gastrointestinal disturbances. 21 There was no significant difference in the incidence of NEC, intestinal perforation, and aspiration pneumonia, showing that there was no benefit from transpyloric feeding. In a meta-analysis of 9 trials, the effect of feeding via gastric versus transpyloric route on growth and feeding tolerance resulted in no difference in outcomes and no difference in incidence of adverse effects.…”

“…In a meta-analysis of 9 trials, the effect of feeding via gastric versus transpyloric route on growth and feeding tolerance resulted in no difference in outcomes and no difference in incidence of adverse effects. 21 Breast milk in premature infants has been the substrate of choice and standard of care in institutions across the nation as the benefits of human milk are numerous and well established. Breast milk improves fat absorption, gastric emptying, stooling frequency, along with decreased rate of sepsis, incidence of NEC, retinopathy of prematurity, and improves psychomotor development at 18 months of age and higher intellectual performance scores at 8 years of age.…”

An evaluation of enteral feeding practices in critically ill children

“…There is conflicting evidence about the usefulness of post‐pyloric feeding and whether it improves feed tolerance and reduces aspiration in critically ill neonates, children and adults (Meert et al 2004; McGuire and McEwan 2007; de Neef et al 2008; McClave et al 2009). Additionally, correct placement of the post‐pyloric feeding tube (and ensuring this position consistently) is often problematic and is not a standard practice in our PICU.…”

Transpyloric tube feeding in very low birthweight infants with suspected gastroesophageal reflux: impact on apnea and bradycardia

“…There were no differences in NEC, spontaneous perforation, sepsis or aspiration pneumonia. [12] While 7% of the babies in our study population developed NEC while receiving TPT feeds, this was similar to the number who developed NEC before or after receiving TPT feedings. Of note, 40% of the infants in our study received maternal breastmilk (non-donor) during TPT feedings and none of those infants developed NEC, while 15% of the infants received hydrolysate based formula during TPT feeds and over one third of them developed NEC.…”

Improving Clinical Outcomes of Very Low Birth Weight Infants by Early Standardized Nutritional Management

“…20 To date, studies have not provided conclusive evidence in support of one particular method of feeding but transpyloric feedings may be associated with greater incidence of gastrointestinal disturbances. 21 There was no significant difference in the incidence of NEC, intestinal perforation, and aspiration pneumonia, showing that there was no benefit from transpyloric feeding. In a meta-analysis of 9 trials, the effect of feeding via gastric versus transpyloric route on growth and feeding tolerance resulted in no difference in outcomes and no difference in incidence of adverse effects.…”

“…In a meta-analysis of 9 trials, the effect of feeding via gastric versus transpyloric route on growth and feeding tolerance resulted in no difference in outcomes and no difference in incidence of adverse effects. 21 Breast milk in premature infants has been the substrate of choice and standard of care in institutions across the nation as the benefits of human milk are numerous and well established. Breast milk improves fat absorption, gastric emptying, stooling frequency, along with decreased rate of sepsis, incidence of NEC, retinopathy of prematurity, and improves psychomotor development at 18 months of age and higher intellectual performance scores at 8 years of age.…”

An evaluation of enteral feeding practices in critically ill children

“…There is conflicting evidence about the usefulness of post‐pyloric feeding and whether it improves feed tolerance and reduces aspiration in critically ill neonates, children and adults (Meert et al 2004; McGuire and McEwan 2007; de Neef et al 2008; McClave et al 2009). Additionally, correct placement of the post‐pyloric feeding tube (and ensuring this position consistently) is often problematic and is not a standard practice in our PICU.…”