Special circumstances: Trophic feeds, necrotizing enterocolitis and bronchopulmonary dysplasia
Summary There are many unresolved issues regarding how to feed the extremely-low-birth-weight (ELBW) infant. Trophic feedings of small volumes of breast milk or formula do not appear to increase the incidence of necrotizing enterocolitis (NEC). For prevention of NEC, breast milk, antenatal steroids...
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| Veröffentlicht in: | Seminars in fetal & neonatal medicine 2007-02, Vol.12 (1), p.64-70 |
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| creator | Reynolds, Regina M Thureen, Patti J |
| description | Summary There are many unresolved issues regarding how to feed the extremely-low-birth-weight (ELBW) infant. Trophic feedings of small volumes of breast milk or formula do not appear to increase the incidence of necrotizing enterocolitis (NEC). For prevention of NEC, breast milk, antenatal steroids and fluid restriction each confers a benefit. Because the incidence of NEC is relatively low, to determine if a particular prevention strategy is effective, large numbers of infants would need to be enrolled in a prospective, randomized controlled trial, and such trials are rare. Candidate therapies for NEC prevention that warrant further study include oral immunoglobulins, probiotics, long-chain polyunsaturated fatty acids and arginine. Suboptimal nutrition in ELBW infants is common in the early postnatal period. This is also the most critical time for the development of bronchopulmonary dysplasia, when even brief periods of malnutrition have significant effects on lung development and growth. |
| doi_str_mv | 10.1016/j.siny.2006.11.002 |
| format | Article |
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Trophic feedings of small volumes of breast milk or formula do not appear to increase the incidence of necrotizing enterocolitis (NEC). For prevention of NEC, breast milk, antenatal steroids and fluid restriction each confers a benefit. Because the incidence of NEC is relatively low, to determine if a particular prevention strategy is effective, large numbers of infants would need to be enrolled in a prospective, randomized controlled trial, and such trials are rare. Candidate therapies for NEC prevention that warrant further study include oral immunoglobulins, probiotics, long-chain polyunsaturated fatty acids and arginine. Suboptimal nutrition in ELBW infants is common in the early postnatal period. 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Trophic feedings of small volumes of breast milk or formula do not appear to increase the incidence of necrotizing enterocolitis (NEC). For prevention of NEC, breast milk, antenatal steroids and fluid restriction each confers a benefit. Because the incidence of NEC is relatively low, to determine if a particular prevention strategy is effective, large numbers of infants would need to be enrolled in a prospective, randomized controlled trial, and such trials are rare. Candidate therapies for NEC prevention that warrant further study include oral immunoglobulins, probiotics, long-chain polyunsaturated fatty acids and arginine. Suboptimal nutrition in ELBW infants is common in the early postnatal period. This is also the most critical time for the development of bronchopulmonary dysplasia, when even brief periods of malnutrition have significant effects on lung development and growth.</description><subject>Bronchopulmonary dysplasia</subject><subject>Bronchopulmonary Dysplasia - prevention & control</subject><subject>Enteral Nutrition</subject><subject>Enterocolitis, Necrotizing - prevention & control</subject><subject>Humans</subject><subject>Infant Food</subject><subject>Infant Nutritional Physiological Phenomena</subject><subject>Infant, Newborn</subject><subject>Infant, Very Low Birth Weight</subject><subject>Milk, Human</subject><subject>Necrotizing enterocolitis</subject><subject>Neonatal and Perinatal Medicine</subject><subject>Nutritional Requirements</subject><subject>Parenteral Nutrition</subject><subject>Post-discharge feeding</subject><subject>Preterm infants</subject><subject>Randomized Controlled Trials as Topic</subject><subject>Trophic feedings</subject><issn>1744-165X</issn><issn>1878-0946</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc2L1TAUxYsozof-Ay6kK1e23rRpmogIMowfMOBiRnBlyLu5dfJsk5q0wvOvN-U9EFy4undxzuGe3y2KZwxqBky82tfJ-UPdAIiasRqgeVCcM9nLChQXD_Pec14x0X09Ky5S2gO0Qkp4XJyxnknVM3VefLudCZ0ZS3QR1yktxiOl1-VdDPO9w3Igsull6QljWNxv57-X5BeKAcPoFpdK4225i8HjfZjXcQrexENpD2keTXLmSfFoMGOip6d5WXx5f3139bG6-fzh09W7mwo5qKVC20gyLfBBWEUoDZdod6YD0Uo1SNlzY6gdGiWMlIg74tiJjg99o6xthW0vixfH3DmGnyulRU8uIY2j8RTWpIVUbdcrnoXNUZj7pBRp0HN0U75ZM9AbVb3XG1W9UdWM6Uw1m56f0tfdRPav5YQxC94cBZQ7_nIUdUJHmaR1kXDRNrj_57_9x46j8w7N-IMOlPZhjT7T00ynRoO-3f66vRUEAINc7Q_A46EQ</recordid><startdate>20070201</startdate><enddate>20070201</enddate><creator>Reynolds, Regina M</creator><creator>Thureen, Patti J</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20070201</creationdate><title>Special circumstances: Trophic feeds, necrotizing enterocolitis and bronchopulmonary dysplasia</title><author>Reynolds, Regina M ; Thureen, Patti J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c409t-cd28ea304f6d9ec8a48cdba506389f8874aae3f296a88ccbe4c5654f729dd36d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Bronchopulmonary dysplasia</topic><topic>Bronchopulmonary Dysplasia - prevention & control</topic><topic>Enteral Nutrition</topic><topic>Enterocolitis, Necrotizing - prevention & control</topic><topic>Humans</topic><topic>Infant Food</topic><topic>Infant Nutritional Physiological Phenomena</topic><topic>Infant, Newborn</topic><topic>Infant, Very Low Birth Weight</topic><topic>Milk, Human</topic><topic>Necrotizing enterocolitis</topic><topic>Neonatal and Perinatal Medicine</topic><topic>Nutritional Requirements</topic><topic>Parenteral Nutrition</topic><topic>Post-discharge feeding</topic><topic>Preterm infants</topic><topic>Randomized Controlled Trials as Topic</topic><topic>Trophic feedings</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Reynolds, Regina M</creatorcontrib><creatorcontrib>Thureen, Patti J</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Seminars in fetal & neonatal medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Reynolds, Regina M</au><au>Thureen, Patti J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Special circumstances: Trophic feeds, necrotizing enterocolitis and bronchopulmonary dysplasia</atitle><jtitle>Seminars in fetal & neonatal medicine</jtitle><addtitle>Semin Fetal Neonatal Med</addtitle><date>2007-02-01</date><risdate>2007</risdate><volume>12</volume><issue>1</issue><spage>64</spage><epage>70</epage><pages>64-70</pages><issn>1744-165X</issn><eissn>1878-0946</eissn><abstract>Summary There are many unresolved issues regarding how to feed the extremely-low-birth-weight (ELBW) infant. Trophic feedings of small volumes of breast milk or formula do not appear to increase the incidence of necrotizing enterocolitis (NEC). For prevention of NEC, breast milk, antenatal steroids and fluid restriction each confers a benefit. Because the incidence of NEC is relatively low, to determine if a particular prevention strategy is effective, large numbers of infants would need to be enrolled in a prospective, randomized controlled trial, and such trials are rare. Candidate therapies for NEC prevention that warrant further study include oral immunoglobulins, probiotics, long-chain polyunsaturated fatty acids and arginine. Suboptimal nutrition in ELBW infants is common in the early postnatal period. This is also the most critical time for the development of bronchopulmonary dysplasia, when even brief periods of malnutrition have significant effects on lung development and growth.</abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>17189719</pmid><doi>10.1016/j.siny.2006.11.002</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1744-165X |
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| issn | 1744-165X 1878-0946 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Bronchopulmonary dysplasia Bronchopulmonary Dysplasia - prevention & control Enteral Nutrition Enterocolitis, Necrotizing - prevention & control Humans Infant Food Infant Nutritional Physiological Phenomena Infant, Newborn Infant, Very Low Birth Weight Milk, Human Necrotizing enterocolitis Neonatal and Perinatal Medicine Nutritional Requirements Parenteral Nutrition Post-discharge feeding Preterm infants Randomized Controlled Trials as Topic Trophic feedings |
| title | Special circumstances: Trophic feeds, necrotizing enterocolitis and bronchopulmonary dysplasia |
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