Affiliation:
1. Neonatal Diagnosis and Treatment Center of Children's Hospital of Chongqing Medical University Chongqing China
2. National Clinical Research Center for Child Health and Disorders Chongqing China
3. Ministry of Education Key Laboratory of Child Development and Disorders Chongqing China
4. China International Science and Technology Cooperation Base of Child Development and Critical Disorders Chongqing China
5. National Demonstration Base of Standardized Training Base for Resident Physicians Chongqing China
6. Department of General Surgery & Neonatal Surgery Children's Hospital of Chongqing Medical University Chongqing China
Abstract
AbstractThe aim of this retrospective study was to investigate the impact of early postoperative enteral nutrition on the short‐term prognosis of neonatal gastric perforation. The 63 neonates were divided into two groups based on enteral nutrition timing: the early enteral nutrition (EEN) group (≤15 days) and the late enteral nutrition (LEN) group (>15 days). The EEN group was additionally matched with the LEN1 group based on closely aligned gestational age (difference ≤6 days), birth weight (difference <250 g), and age of onset (<1 day). Data from the EEN, LEN, and LEN1 groups were compared and analyzed. No significant differences were observed among the groups in baseline characteristics such as gestational age, birth weight, age at hospital admission, cesarean section rate, and so on (p > 0.05). Furthermore, preoperative comorbidities, clinical symptoms, and examination results were not significantly different between the three groups (p > 0.05). However, the time required to achieve total enteral nutrition, the length of hospital stay, and fistula retention time were significantly less in the EEN group compared to the LEN groups (p < 0.05). The EEN group also exhibited a shorter gastrointestinal decompression time than the LEN1 group, but other major postoperative outcome measures were not significantly different. In conclusion, our study suggests that early postoperative enteral nutrition (≤15 days) could reduce the time to total enteral nutrition, length of hospital stay, and fistula retention time, without increasing adverse prognosis rates.
Funder
China Postdoctoral Science Foundation
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