Realimentación de fístulas mucosas en neonatos: una revisión sistemática y metanálisis
Topic overview
Systematic review and meta-analysis examining mucous fistula refeeding (MFR) in neonates with ostomies after abdominal surgery. Low-certainty evidence suggests MFR reduces parenteral nutrition duration by ~37 days and lowers cholestasis rates compared to standard ostomy management.
Key takeaways
- Mucous fistula refeeding (MFR) reduces parenteral nutrition duration by ~37 days in neonates with ostomies after abdominal surgery.
- MFR maintains intestinal physiology by reintroducing proximal ostomy effluent into the distal mucous fistula.
- Neonates receiving MFR show lower cholestasis rates and shorter time to full enteral feeding compared to controls.
- Evidence quality is low; findings based on 16 observational studies (n=623) with no randomized controlled trials included.
- MFR may shorten hospital stay in neonates post-abdominal surgery, but ongoing RCTs are needed to confirm benefits.
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