Gavage Feed Volume Determines the Gastric Emptying Rate in Preterm Infants.
J Pediatr Gastroenterol Nutr
; 67(3): e43-e46, 2018 09.
Article
en En
| MEDLINE
| ID: mdl-29601436
ABSTRACT
OBJECTIVE:
Feeding intolerance, manifesting as increased gastric residual, is a common finding in preterm neonates. Little is known about the regulation of gastric emptying early in life and the extent to which this plays a role in the preterm infants' feeding tolerance. The goal of this study was to evaluate clinically stable 28- to 32-week gestation neonates during the first 4 weeks of life and noninvasively determine their gastric emptying rate. STUDYDESIGN:
Ultrasound measurements of gastric milk content volume were obtained from 25 neonates immediately after, 30 and/or 60 minutes following routine gavage feeds. The content emptying rate was calculated from the gastric volume data.RESULTS:
Gastric emptying rate was not postnatal age-dependent, was significantly higher at 30 minutes, whenever compared with 60-minute postfeed and directly proportional to the feed volume. At any postnatal age, the gastric emptying rate was at least 6-fold greater, when comparing the lowest and highest average stomach content volumes.CONCLUSIONS:
The gastric emptying rate of preterm infants is content volume-dependent and unrelated to the postnatal age. Given the present findings, further investigation on the gastric residual of preterm infants receiving larger than currently administered feed volumes at the initiation of enteral nutrition, is warranted.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Recien Nacido Prematuro
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Ultrasonografía
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Vaciamiento Gástrico
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Contenido Digestivo
Tipo de estudio:
Diagnostic_studies
/
Observational_studies
Límite:
Female
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Humans
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Male
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Newborn
Idioma:
En
Año:
2018
Tipo del documento:
Article