Acta Scientific Nutritional Health (ASNH)(ISSN: 2582-1423)

Review Article Volume 6 Issue 5

Transpyloric Feeding of Gastroesophageal Reflux of Preterm Infantso

OG Smirnov1*, NV Braginа1, NG Aleynikova2 and VI Gorbachev1

1Russian Medical Academy of Continuous Professional Education, Irkutsk, Russia
2Irkutsk State Medical University, Irkutsk, Russia

*Corresponding Author: OG Smirnov, Russian Medical Academy of Continuous Professional Education, Irkutsk, Russia.

Received: January 31, 2022; Published:

×

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

×

References

  1. YS Aleksandrovich., et al. “Cardiopulmonary resuscitation of a newborn in the delivery room”. Pediatrician4 (2019): 5-16.
  2. YS Alexandrovich., et al. “Predicting early outcomes of critical conditions in newborns Bulletin of Anesthesiology and Resuscitation 4 (2012): 36-42.
  3. DO Ivanov., et al. “Infant mortality in the Russian Federation and influence on its dynamic factors”. Pediatrician 3 (2017): 5-14.
  4. AN Zavyalova., et al. “Enteral nutrition in palliative medicine in children”. Pediatrician6 (2017): 105-113.
  5. DO Ivanov., et al. “Assessment of adaptation of the body of infants born with different types of mild intrauterine growth retardation”. Pediatrician 3 (2019): 5-16.
  6. I I Mebelova. “Modern approaches to enteral nutrition of preterm infants with extremely low and very low birth weight”. Neonatology: News. Opinions. Training13 (2016): 72-80.
  7. NM Rakhimzhanov., et al. “Nutritional support for patients with severe traumatic brain injury”. Medicine (Almaty) 190 (2018): 53-57.
  8. GG Liang., et al. “Therapeutic effect of a temporary transpyloric stent in refractory post-surgical gastroparesis: a case report”. BMC Surgery 1 (2019): 1-4.
  9. EC Eichenwald., et al. “Diagnosis and management of gastroesophageal reflux in preterm infants”. Pediatrics1 (2018).
  10. RK Gizatullin., et al. “Postpiloric nutritional support in the complex treatment of neonatal sepsis”. Bulletin of Anesthesiology and Resuscitation3 (2015).
  11. RN Lopez., et al. “Gastro-oesophageal reflux disease in infancy: a review based on international guidelines”. The Medical journal of Australia1 (2020): 40-44.
  12. RK Agarwal., et al. “Nasojejunal and nasoduodenal tube feeding”. Indian Pediatrics 5 (1980): 472-475.
  13. L , et al. “Proarrhythmic effects of domperidone in infants: a systematic review”. Farmacia hospitalaria: Organo Official de Expresion Cientifica de la Sociedad Espanola de Farmacia Hospitalaria 38.5 (2014): 43-44.
  14. AK Leung., et al. “Gastroesophageal reflux in children: an updated review”. Drugs in Context 8 (2019): 1-12.
  15. A Rybak., et al. “Gastro-Esophageal Reflux in Children”. International Journal of Molecular Sciences8 (2017): 2-17.
  16. CL Berseth., et al. “Gestational evolution of small intestine motility in preterm and term infants”. The Journal of Pediatrics 4 (1989): 646-651.
  17. MR Palla., et al. “Progression of Gastric Acid Production in Preterm Neonates: Utilization of In-vitro Method”. Frontiers in Pediatrics 6 (2018): 1-4.
  18. TD Ferguson. “Gastroesophageal Reflux: Regurgitation in the Infant Population”. Critical Care Nursing Clinics of North America 1 (2018): 167-177.
  19. F Cresi., et al. “Multichannel Intraluminal Impedance and pH Monitoring: A Step Towards Pediatric Reference Values”. Journal of Neurogastroenterology and Motility3 (2020): 370-377.
  20. NS Kwatra., et al. “Gastric emptying of milk in infants and children up to 5 years of age: normative data and influencing factors”. pediatric Radiology5 (2020): 689-697.
  21. MT Clark., et al. “Stochastic modeling of central apnea events in preterm infants”. Physiological Measurement4 (2016): 463-484.
  22. S Farhath., et al. “Pepsin, a marker of gastric contents, is increased in tracheal aspirates from preterm infants who develop bronchopulmonary dysplasia”. Pediatrics 2 (2008): 253-259.
  23. EA Jensen., et al. “Individualising care in severe bronchopulmonary dysplasia: a series of N-of-1 trials comparing transpyloric and gastric feeding”. Archives of Disease in Childhood. Fetal and Neonatal Edition 4 (2020): 399-404.
  24. F Cresi., et al. “Cardiorespiratory events in infants with gastroesophageal reflux symptoms: Is there any association?”. Neurogastroenterology and Motility: The Official Journal of the European Gastrointestinal Motility Society5 (2018): 32-78.
  25. ML Sole., et al. “Is α-Amylase an Important Biomarker to Detect Aspiration of Oral Secretions in Ventilated Patients?”. Critical Care Explorations7 (2020): 1-5.
  26. HG Dahlen., et al. “Gastro-oesophageal reflux: a mixed methods study of infants admitted to hospital in the first 12 months following birth in NSW (2000-2011)”. BMC Pediatrics 1 (2018): 30.
  27. CJ Rhee., et al. “Neonatal cerebrovascular autoregulation”. Pediatric Research 5 (2018): 602-610.
  28. F Cresi., et al. “Esophageal Bolus Transit in Newborns with Gastroesophageal Reflux Disease Symptoms: A Multichannel Intraluminal Impedance Study”. Pediatric Gastroenteology, Hepatology and Nutrition 4 (2015): 238-245.
  29. E Dermyshi., et al. “Antacid therapy for gastroesophageal reflux in preterm infants: a systematic review”. BMJ Paediatrics Open1 (2018): 1-9.
  30. WF Malcolm., et al. “Use of medications for gastroesophageal reflux at discharge among extremely low birth weight infants”. Pediatrics 1 (2008): 22-27.
  31. M Bellaïche., et al. “Gastroesophageal reflux and sleep position of infants. A survey conducted in France by 493 pediatricians”. Archives de Pediatrie: Organe Officiel de la Societe Francaise de Pediatrie 1 (2017): 17-23.
  32. R Rosen., et al. “Pediatric Gastroesophageal Reflux Clinical Practice Guidelines: Joint Recommendations of the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition and the European Society for Pediatric Gastroenterology, Hepatology, and Nutrition”. Journal of pediatric gastroenterology and nutrition3 (2018): 516-554.
  33. J Beal., et al. “Late onset necrotizing enterocolitis in infants following use of a xanthan gum-containing thickening agent”. The Journal of Pediatrics 2 (2012): 354-356.
  34. HD Dellagrammaticas., et al. “Upper intestinal bacterial flora during transpyloric feeding”. Archives of Diseases Childhood2 (1983): 115-119.
  35. AF Dahlgren., et al. “Longitudinal changes in the gut microbiome of infants on total parenteral nutrition”. Pediatric Research 1 (2019): 107-114.
  36. IA Laing., et al. “Nasogastric compared with nasoduodenal feeding in low birthweight infants”. Archives of Disease in Childhood2 (1986): 138-141.
  37. JA Cheek., et al. “Nasojejunal alimentation for premature and full-term newborn infants”. Journal of Pediatrics6 (1973): 955-962.
  38. B Stone., et al. “Effectiveness of fundoplication or gastrojejunal feeding in children with neurologic impairment”. Hospital Pediatrics3 (2017): 1-9.
  39. WF Malcolm., et al. “Transpyloric tube feeding in very low birthweight infants with suspected gastroesophageal reflux: impact on apnea and bradycardia”. Journal of Perinatology: Official Journal of the California Perinatal Association5 (2009): 372-375.
  40. W McGuire., et al. “Systematic review of transpyloric versus gastric tube feeding for preterm infants?”. Archives of Disease in Childhood Fetal and Neonatal Edition 3 (2004): 24-58.
  41. S Manzar. “Transpyloric feeds and bronchopulmonary dysplasia”. Journal of Perinatology: Official Journal of the California Perinatal Association 10 (2019): 13-27.
  42. T S, et al. “Acute respiratory effect of transpyloric feeding for respiratory exacerbation in preterm infants”. Journal of Perinatal Medicine 49.3 (2020): 383-387.
  43. MB Wallenstein., et al. “Early transpyloric vs gastric feeding in preterm infants: a retrospective cohort study”. Journal of Perinatology: Official Journal of the California Perinatal Association 6 (2019): 837-841.
  44. SJ Boros., et al. “Duodenal perforation: a complication of neonatal nasojejunal feeding”. The Journal of Pediatrics1 (1974): 107-108.
  45. WH McAlister., et al. “Intestinal perforations by tube feedings in small infants: clinical and experimental studies”. American Journal of Roentgenology 4 (1985): 687-691.
  46. PA Raine., et al. “Pyloric stenosis and transpyloric feeding”. Lancet8302 (1982): 821-822.
  47. AU Lekmanov., et al. “Experience of applying postpiloric nutrition in children in intensive care”. Messenger of Anesthesiology and Resuscitation 3 (2012) 42-46.
  48. YuV Erpuleva., et al. “Modern technologies of enteral nutrition in critically ill children”. Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care1 (2014): 80-87.
×

Citation

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




Metrics

Acceptance rate30%
Acceptance to publication20-30 days
Impact Factor1.316

Indexed In





News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is September 25, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.

Contact US