American journal of surgery · 2008
Early "sham" feeding of neonates promotes oral feeding after delayed primary repair of major congenital esophageal anomalies.
СтатьяНазвание и аннотация: Перевод в очереди
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Golonka Naomi R, Hayashi Allen H
Аннотация
BACKGROUND: To promote the appropriate and early development of the suck and swallow mechanism, we instituted a "sham" feeding protocol in infants undergoing delayed primary repair of an esophageal atresia anomaly.
METHODS: Four patients who were born with esophageal atresia required delayed repair and were sham fed before surgical correction. Each infant started with a small volume of oral feeds by using a bottle/nipple with a continuous Replogle suction system placed nasally into the esophageal pouch. They were carefully monitored. The volume of feeds was slowly increased as tolerated.
RESULTS: All infants successfully completed the sham feeding protocol before undergoing delayed primary esophageal repair. After repair, they had a shortened time to full oral feeding.
CONCLUSION: Our "sham" feeding protocol is safe and very effective in early development of oral feeding mechanisms and shortens time to complete oral feeding after delayed esophageal repair.
METHODS: Four patients who were born with esophageal atresia required delayed repair and were sham fed before surgical correction. Each infant started with a small volume of oral feeds by using a bottle/nipple with a continuous Replogle suction system placed nasally into the esophageal pouch. They were carefully monitored. The volume of feeds was slowly increased as tolerated.
RESULTS: All infants successfully completed the sham feeding protocol before undergoing delayed primary esophageal repair. After repair, they had a shortened time to full oral feeding.
CONCLUSION: Our "sham" feeding protocol is safe and very effective in early development of oral feeding mechanisms and shortens time to complete oral feeding after delayed esophageal repair.