Nutritional Practices and Growth in Premature Infants After Surgical Necrotizing Enterocolitis

Lin, G. C.; Robinson, D. T.; Olsen, S.; Reber, K. M.; Moallem, M.; DiGeronimo, R.; Mulroy, C.; Datta, A.; Murthy, K.

J Pediatr Gastroenterol Nutr. 2017 Jan 4; 65(1):111-116


OBJECTIVE: The aim of the study was to describe the nutritional provisions received by infants with surgical necrotizing enterocolitis (NEC) and the associated effects on short-term growth. METHODS: Through the Children's Hospitals Neonatal Database, we identified infants born 0.3 between groups for weight and length). Unadjusted and independent associations were identified with HC changes and HP dose (beta = 0.1 cm/wk, P = 0.03) after adjusting for gestational age, the presence of severe bronchopulmonary dysplasia, short bowel syndrome, blood stream infection, severe intraventricular hemorrhage, small for gestational age, and calorie intake. Eventual nonsurvivors received 18% less protein and 14% fewer calories over the first postoperative month. CONCLUSIONS: Postoperative protein doses in infants with surgical NEC appear related to increases in HC. The influence of postoperative nutritional support on risk of adverse outcomes deserves further attention.

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