Faculty Collaboration Database

Nutrition Management of Necrotizing Enterocolitis. Nutr Clin Pract 2018 Aug;33(4):476-482

Date

06/26/2018

Pubmed ID

29940075

DOI

10.1002/ncp.10115

Scopus ID

2-s2.0-85049792003 (requires institutional sign-in at Scopus site)   25 Citations

Abstract

Necrotizing enterocolitis (NEC) is one of the most significant causes of morbidity and mortality among premature infants. The exact cause is considered multifactorial and related to gastrointestinal immaturity, inflammation and enteral feeding. The role of nutrition is vitally important in NEC. The main modifiable risk factor is the introduction and advancement of enteral feedings. After an infant has recovered from NEC, enteral feeds should be cautiously resumed to prevent injury from prolonged use of parenteral nutrition. The logistics of how, when, and what to feed are somewhat unclear and often depend on the severity of the disease. For patients with an enterostomy, refeeding the distal intestine with the small-intestinal ostomy output may improve bowel growth and prevent long-term complications.

Author List

Christian VJ, Polzin E, Welak S

Author

Scott R. Welak MD Associate Professor in the Pediatrics department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Enteral Nutrition
Enterocolitis, Necrotizing
Enterostomy
Humans
Infant, Newborn
Infant, Premature
Infant, Premature, Diseases
Infant, Very Low Birth Weight
Inflammation
Intestines
Parenteral Nutrition