Neonates born with the following congenital malformations: gastroschsis, omphalocele and duodenal- or small bowelatresias, who are corrected surgically. Peri- and post-operatively they have a nasogastric tube for gastro-intestinal decompression. If gastric retentions disappear, enteral feeding can be started.
Conditions
Interventions
1. 6 x 2 ml feeding (formula or breast) through the nasogastric tube, followed by 30 min. tube closure
2. Compared to 6 x 30 min. tube closure without feeding
3. Start enteral feeding if daily gastric retention is less than 25 ml/day.
Sponsors
AMC
Meibergdreef 9
PO Box 22660
1100 DD Amsterdam
Phone +31 20 5669111
Eligibility
Inclusion criteria
Inclusion criteria: All neonates with gastroschsis, omphalocele, duodenal- and small bowel atresia who underwent surgical correction. Informed consent of the parents.
Exclusion criteria
Exclusion criteria: 1. No informed consent of the parents; 2. Pre-operative bowel perforation; 3. Per-operative need for a stoma.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of days from the operation to enteral feeding of 120 ml/kg/day. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Weight gain on day 20 postoperative compared to birthweight; 2. Number of coag. neg. staph. (CNS) sepsis episodes. | — |
Contacts
Public ContactR. Baren, van
VU Medical Center, P.O. Box 7075
Outcome results
None listed