ISSN: 2155-6148
AA Burov
Serbia
Research Article
Optimal Timing for the Initiation of Enteral Feeding in Neonates with Gastroschisis, Depending on Non-Invasive Doppler Ultrasound Evaluation of Hemodynamics in the Bowel Wall Arteries
Author(s): OV Teplyakova, EA Filippova, YL Podurovskaya, AV Pyregov, VV Zubkov, AA Burov, EI Dorofeeva and MI Pykov
OV Teplyakova, EA Filippova, YL Podurovskaya, AV Pyregov, VV Zubkov, AA Burov, EI Dorofeeva and MI Pykov
Purpose: The objective of the study is to assess the clinical relevance of ultrasonography evaluation of hemodynamics in the bowel wall arteries for determining the optimal time of the initiation of enteral feeding in neonates with gastroschisis.
Patients and methods: The sample consisted of 28 newborns with gastroschisis. Doppler ultrasonography was used to evaluate hemodynamic patterns in the bowel wall arteries in the pre- and postop periods to determine the optimal time for the initiation of enteral nutrition. Swelling of the bowel wall and indefinite differentiation into layers were observed during the first 2-3 days upon gastroschisis surgery. The blood flow in the intestinal wall arteries was varying in different quadrants, demonstrating a mosaic pattern. Hyperemia, i.e. a dramatic blood flow increase, was documented. The peripheral r.. View More»
DOI:
10.4172/2155-6148.1000701