Early enteral feeding versus traditional feeding in neonatal congenital gastrointestinal malformation undergoing intestinal anastomosis
Topic overview
Multicenter RCT of 156 neonates with congenital GI malformations found early enteral feeding after intestinal anastomosis is safe, with trends toward shorter hospital stays and faster time to full feeds compared to traditional feeding protocols. No significant differences in complications or feeding intolerance were observed between groups.
Key takeaways
- Early enteral feeding after intestinal anastomosis in neonates with GI malformations is safe with no increase in complications
- Time to full feeds was similar between early feeding (15 days) and traditional feeding (18 days) groups
- Early enteral feeding showed a trend toward shorter hospital stay (17.6 vs 20 days) though not statistically significant
- No significant differences in feeding intolerance, parenteral nutrition duration, or 30-day mortality between feeding strategies
- Multicenter RCT of 156 neonates supports feasibility of early feeding protocols after neonatal GI surgery
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