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Human Milk-Derived Fortifier to Reduce Hospital-Acquired Malnutrition in Uncomplicated Gastroschisis: A Case Report.
AJP Rep
July 2024
Neonatal Intensive Care Unit, Texas Health Harris Methodist Hospital Fort Worth, Fort Worth, Texas.
Gastroschisis is one of the most common congenital gastrointestinal disorders, occurring in about one in 1,953 infants born each year in the United States. Infants with gastroschisis rely on total parenteral nutrition (TPN) preoperatively, and due to intestinal function and dysmotility issues, continue to face feeding challenges postclosure, including feeding intolerance and increased risk of necrotizing enterocolitis (NEC). Postclosure, human milk-feeding is preferred over infant formula because of its associated reduced risk of feeding intolerance and NEC.
View Article and Find Full Text PDFInter-center variations in inpatient outcomes for infants with gastroschisis from the Children's Hospitals Neonatal Consortium.
J Perinatol
December 2024
Children's Healthcare of Atlanta - Egleston, Atlanta, GA, USA.
Objective: To estimate inter-center variation (ICV) in hospital length of stay (LOS) and oral feeding at discharge among infants with gastroschisis.
Study Design: The Children's Hospitals Neonatal Consortium's (CHNC) database was used to identify hospitalized survivors with gastroschisis. Two outcomes were evaluated: LOS and discharge without tube feedings.
Need for Gastroschisis Feeding Protocols.
Nutr Clin Pract
November 2024
Department of Paediatric Surgery, The Children's Hospital at Westmead, New South Wales, Australia.
Management of gastroschisis in an extremely low birth weight infant: report of a case.
Surg Case Rep
October 2024
Department of Neonatology, Yamanashi Prefectural Central Hospital, Kofu, Japan.
Article Synopsis
- Gastroschisis is a birth condition where a baby’s organs stick out through a hole in their belly, and it can be really tough to treat, especially for tiny babies born early.
- A baby girl, born at just 29 weeks and weighing less than a kilogram, needed special surgery right after birth to help her belly hold her organs better.
- Although she faced serious health issues like infections and not gaining weight, she eventually got better and was able to go home after 142 days in the hospital.
Association between consensus-based nutrition pathway and growth faltering in infants with gastroschisis: A retrospective cohort study.
JPEN J Parenter Enteral Nutr
November 2024
Department of Pediatrics, University of California Los Angeles, Los Angeles, California, USA.
Background: The University of California Fetal Consortium published that 55% of infants with gastroschisis develop growth faltering by hospital discharge. To address this problem, we developed a nutrition pathway emphasizing (1) early provision of parenteral macronutrients, (2) use of human milk, and (3) growth faltering treatment. This study's goals were to assess adherence to and efficacy of this pathway in infants with gastroschisis across six California hospitals.
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