Omitting routine gastric residual checks may help to accelerate enteral feeds and postnatal growth in stable preterm infants

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dc.authorscopusid55307654100
dc.authorscopusid57450631900
dc.authorscopusid37076963100
dc.authorscopusid57450632000
dc.authorscopusid37086922000
dc.authorscopusid6701464106
dc.authorscopusid7003472711
dc.contributor.authorTerek, Demet
dc.contributor.authorCelik, Mahmut
dc.contributor.authorErgin, Firat
dc.contributor.authorErol, Elif
dc.contributor.authorAltun Koroglu, Ozge
dc.contributor.authorYalaz, Mehmet
dc.contributor.authorAkisu, Mete
dc.date.accessioned2023-01-12T19:49:52Z
dc.date.available2023-01-12T19:49:52Z
dc.date.issued2022
dc.departmentN/A/Departmenten_US
dc.description.abstractBackground The prefeed gastric residual check (GRC) when increasing the amounts of feeds given via orogastric and nasogastric tubes as a precaution for necrotizing enterocolitis (NEC) and intestinal intolerance is a routine procedure. However, it is mostly misleading, and recently, there has been a tendency not to check prefeed residuals. Methods We changed our nutrition protocol at the end of 2018 to start minimal enteral feeds (MEFs) and increase feeds without GRCs. We investigated the effects on the incidence of NEC, complications, time to reach full feeds, and growth parameters Results We compared the results of 60 preterm infants at <= 35 weeks' gestational age (group 1: 2016-2017, cared for with GRC) and 77 preterm infants (group 2: 2019, without routine GRCs). No differences in incidence of NEC and complications were observed. Group 2 started enteral feeds 3 days earlier, reached total feeds 6 days earlier (P < 0.01), and had higher weight (P < 0.01) and head circumference gain (P < 0.01). Extrauterine growth restriction was significantly less for head circumference and also insignificantly less for weight and height. Conclusion We conclude that starting MEFs earlier and omitting routine GRCs in clinically stable preterm infants accelerate enteral feeds and growth parameters.en_US
dc.identifier.doi10.1002/jpen.2270
dc.identifier.issn0148-6071
dc.identifier.issn1941-2444
dc.identifier.pmid34599757en_US
dc.identifier.scopus2-s2.0-85124504810en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.urihttps://doi.org/10.1002/jpen.2270
dc.identifier.urihttps://hdl.handle.net/11454/75938
dc.identifier.wosWOS:000754010100001en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherWileyen_US
dc.relation.ispartofJournal of Parenteral and Enteral Nutritionen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectfeeding intoleranceen_US
dc.subjectgastric residualen_US
dc.subjectgrowthen_US
dc.subjectnecrotizing enterocolitisen_US
dc.subjectpretermen_US
dc.titleOmitting routine gastric residual checks may help to accelerate enteral feeds and postnatal growth in stable preterm infantsen_US
dc.typeArticleen_US

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