Abstract

Optimizing nutritional support is essential for critically ill children, and preterm infants are particularly vulnerable to the effects of prolonged fasting. There is a lot of evidence in the scientific literature for the benefits of enteral nutrition. It is known that premature infants need an individual approach to nutrition due to the prevalence of catabolic processes, while treatment in the intensive care unit requires a surplus of calories. Timely introduction of enteral nutrition helps to reduce morbidity and mortality in this population. Gastroesophageal reflux (GER) is common in preterm infants. The decreasing tolerance to enteral feeding makes doctors usually prefer parenteral nutrition. However, its use can be associated with metabolic, infectious and iatrogenic complications. A step-by-step therapeutic approach is recommended in the treatment of GER in preterm infants. Conservative treatment should be considered as first-line therapy in children without clinical complications. Feeding through a gastric tube is not always well tolerated by seriously ill patients. As for the treatment of complicated GER, studies show that the use of transpyloric feeding is comparable in effectiveness to fundoplication. Transpyloric feeding tube can be justified as a strategy for treating GER that is refractory to conservative therapy.

Keywords: Enteral Nutrition; Transpyloric Feeding; Preterm Infants; Gastroesophageal Reflux; Nutritional Support

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Citation

Citation: OG Smirnov., et al. “Transpyloric Feeding of Gastroesophageal Reflux of Preterm Infantso". Acta Scientific Nutritional Health 6.5 (2022): .

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Copyright: © 2022 OG Smirnov., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.