Document Detail

The fear of necrotizing enterocolitis versus achieving optimal growth in preterm infants--an opinion.
MedLine Citation:
PMID:  17062457     Owner:  NLM     Status:  MEDLINE    
Very-low-birthweight (VLBW) infants suffer marked growth delay despite well-intentioned efforts at combining enteral and parenteral nutrition. Fear of necrotizing enterocolitis (NEC) has traditionally influenced neonatologists toward delaying and progressing slowly with enteral feeding, while supporting the infant with parenteral nutrition. Current evidence suggests significant benefits of enteral feeding that is started early and advanced at rates of 20-35 ml/kg/d. Conclusion: We conclude that fear of inadequate growth should replace the fear of NEC in guiding nutritional strategies for these infants.
Orna Flidel-Rimon; David Branski; Eric S Shinwell
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Acta paediatrica (Oslo, Norway : 1992)     Volume:  95     ISSN:  0803-5253     ISO Abbreviation:  Acta Paediatr.     Publication Date:  2006 Nov 
Date Detail:
Created Date:  2006-10-25     Completed Date:  2007-02-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9205968     Medline TA:  Acta Paediatr     Country:  Norway    
Other Details:
Languages:  eng     Pagination:  1341-4     Citation Subset:  IM    
Department of Neonatology, Kaplan Medical Center, Rehovot, Israel.
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MeSH Terms
Enteral Nutrition*
Enterocolitis, Necrotizing / prevention & control
Failure to Thrive / prevention & control*,  therapy
Gastrointestinal Tract / physiology
Infant, Newborn
Infant, Premature
Infant, Premature, Diseases / prevention & control
Infant, Very Low Birth Weight / growth & development*
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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