How do you feed patients after gastroschisis repair?
Topic overview
Systematic review and meta-analysis examining standardized feeding protocols after gastroschisis repair. Protocolized feeding initiates enteral nutrition 3.19 days earlier and reduces complications compared to non-standardized approaches, though effects on parenteral nutrition duration require further study.
Key takeaways
- Standardized feeding protocols after gastroschisis repair initiate enteral feeding 3.19 days earlier than non-protocolized approaches.
- Protocolized feeding is associated with lower complication rates, reduced mortality, and better compliance to postoperative care.
- Time to full enteral feeding and duration of parenteral nutrition showed trends toward improvement but were not statistically significant.
- Early enteral feeding advancement is a key driver of improved outcomes in gastroschisis repair over the past two decades.
- Prospective randomized trials are needed to definitively establish optimal feeding protocols for gastroschisis patients.
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