Enteral feeding for very low birth weight infants: reducing the risk of necrotising enterocolitis

@article{Chauhan2007EnteralFF,
  title={Enteral feeding for very low birth weight infants: reducing the risk of necrotising enterocolitis},
  author={M Chauhan and Ginny Henderson and William McGuire},
  journal={Archives of Disease in Childhood Fetal and Neonatal Edition},
  year={2007},
  volume={93},
  pages={F162 - F166}
}
The principal modifiable risk factors for necrotising enterocolitis (NEC) in very low birth weight infants relate to enteral feeding practices. Evidence exists that feeding with formula milk increases the risk of NEC. Currently, only limited data are available on the effect of the timing of feed introduction and advancement on the risk of developing NEC. Large, multicentre randomised controlled trials of these strategies are needed. Other promising interventions that merit further evaluation… 
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Gastric residual volume as a measure of feed intolerance/necrotising enterocolitis in very low birth weight infants: an observational cohort study
TLDR
The birth of a preterm baby is a nutritional emergency and nutrition is the next most urgent challenge for clinicians caring for newborns admitted to the Neonatal Intensive Care Unit (NICU).
Slow advancement of enteral feed volumes to prevent necrotising enterocolitis in very low birth weight infants.
TLDR
The quality of evidence at the outcome level was "moderate", downgraded from "high" because of lack of blinding in the included trials, and potential causes of heterogeneity via sensitivity analyses.
Conservative Enteral Feeding Policy and Necrotizing Enterocolitis (NEC) in VLBW Infants: A Single Center Experience
TLDR
The primary outcome was to determine a potential association of slow rates of enteral feed advancement and the incidence of NEC in VLBW infants.
Risk of Necrotizing Enterocolitis and Feeding Interventions for Preterm Infants With Abnormal Umbilical Artery Doppler
TLDR
It is revealed that early minimal enteral feeding does not increase the incidence of NEC in infants with AREDF, and Initiation and advancement of enteral feedings should be monitored closely in this subset of the neonatal intensive care unit (NICU) population.
Comparison of prolonged low volume milk and routine volume milk on incidence of necrotizing enterocolitis in very low birth weight neonates
TLDR
Due to the potential risks of NEC in preterm infants and based on this study feeding strategy (prolonged low milk volume in newborn babies) could be suggested for VLBW neonates.
Caroline King infant ? What ' s new in enterally feeding the preterm
TLDR
A large multicentred trial is currently being carried out in the UK which will help shed some light on issues around whether early or delayed feeds are benefi cial for high-risk neonates.
Necrotizing enterocolitis risk: state of the science.
TLDR
Although the only consistent independent predictors for NEC remain prematurity and formula feeding, others exist that could increase risk when combined, including human milk feeding, the use of feeding guidelines, and probiotics.
Early full enteral feeding for preterm or low birth weight infants.
TLDR
To determine how early full enteral feeding, compared with delayed or progressive introduction of enteral feeds, affects growth and adverse events such as necrotising enterocolitis, in preterm or low birth weight infants, six randomised controlled trials in India were undertaken.
Minimal enteral feeding reduces the risk of sepsis in feed‐intolerant very low birth weight newborns
Aims: To evaluate the efficacy and safety of minimal enteral feeding (MEF) nutritional practice in feed‐intolerant very low birth weight (VLBW) infants.
Diet-dependent effects of minimal enteral nutrition on intestinal function and necrotizing enterocolitis in preterm pigs.
TLDR
Colostrum MEN improves intestinal structure, function, and NEC resistance in preterm pigs but does not protect against gut dysfunction and NEC associated with later full enteral formula feeding.
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TLDR
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TLDR
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TLDR
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TLDR
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