Early Enteral Nutrition Following Gastrointestinal Surgery in Children: A Systematic Review of the Literature.

Annals of Surgery
Sarah Braungart, Sotirios Siminas

Abstract

To investigate the safety and effectiveness of early enteral feeding versus traditional enteral feeding after gastrointestinal (GI) anastomosis in children in the pediatric literature. Prolonged postoperative fasting has been the traditional model of care following pediatric GI surgery. In contrast, early feeding has become well established in the adult population, where meta-analyses have shown early introduction of enteral feeds to be beneficial to hospital stay and patient outcomes. Comprehensive literature searches of the English literature search (PubMed, Ovid, Embase databases) from inception to present according to the PRISMA guidelines. Included studies were assessed according to the MINORS criteria. Outcomes for time to first feed and full feeds, and discharge, and risk of major complications were synthesized. Ten studies comprising 451 patients were included in the analysis. All studies aimed at investigating the safety of early feeding in pediatric GI surgery, with or without a fast-track program. Only 4 studies compared the study group to a control group in which patients were fed in a traditional way (traditional feeding).Most studies defined early feeding as feeds commenced ≤24 hours postoperatively (range 2-72 ho...Continue Reading

References

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May 25, 2013·Journal of Pediatric Surgery·Partap S YadavDavid L Sigalet
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Jan 6, 2016·The Indian Journal of Surgery· Mamatha B, Anand Alladi
Apr 17, 2016·The Journal of Surgical Research·Julia K ShinnickMehul V Raval

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