Early Closure of Gastroschisis After Silo Placement Correlates with Earlier Enteral Feeding

Authors

  • Jamie Harris Division of General Surgery, Rush University Medical Center
  • Jennifer Poirier Division of General Surgery, Rush University Medical Center
  • Debra Selip Rush Fetal and Neonatal Medicine Center, Rush Children's Hospital
  • Srikumar Pillai Division of Pediatric Surgery, Rush University Medical Center
  • Ami N Shah Division of Pediatric Surgery, Rush University Medical Center
  • Carl-Christian Jackson Division of Pediatric Surgery, Floating Hospital for Children
  • Bill Chiu Division of Pediatric Surgery, Rush University Medical Center

DOI:

https://doi.org/10.47338/jns.v4.199

Keywords:

Closure timing, Gastroschisis, Enteral feeding, Silo

Abstract

Objectives: Gastroschisis is a congenital anomaly affecting 2.3-4.4/10,000 births. Previous studies show initiation of early enteral feeds predicts improved outcomes. We hypothesize that earlier definitive closure after silo placement; can lead to earlier enteral feed initiation.

Design/ Setting/ Duration: Retrospective review of patients with gastroschisis from 2005 and 2014 at a single institution.

Material and Methods: The data, including ethnicity, gestational age, birth weight, time to definitive closure, and time of first and full feeds, were analyzed using both Spearman’s rho and the Kruskal-Wallis rank sum test where appropriate; a p value <0.05 was considered significant.

Results: Forty-three patients (24 males, 19 females) born with gastroschisis were identified. Overall survival rate was 88% (38/43). Forty of the 43 patients had a silo placed prior to definitive closure. Median days to closure were 6 (0 to 85) days. First feeds on average began on day of life (DOL) 17, and full feeds on DOL 25. Earlier closure of gastroschisis correlated with early initiation of feeds (p=0.0001) and shorter time to full feeds (p=0.018), closure by DOL4 showed a trend toward earlier feeding (p=0.13).

Conclusion: Earlier closure of gastroschisis after silo placement was associated with earlier feed initiation and shorter time to full feeds.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Downloads

Published

2015-06-30

How to Cite

1.
Harris J, Poirier J, Selip D, Pillai S, Shah AN, Jackson C-C, Chiu B. Early Closure of Gastroschisis After Silo Placement Correlates with Earlier Enteral Feeding. J Neonatal Surg [Internet]. 2015Jun.30 [cited 2021Mar.4];4(3):J Neonat Surg. 2015; 4(3):28. Available from: https://www.jneonatalsurg.com/ojs/index.php/jns/article/view/199

Most read articles by the same author(s)