Comparing Distal Mucous Fistula Refeeding vs Non-Refeeding in Neonates with Intestinal Diseases

Honors Capstone Project

1

Advisor(s)

Dr. Megan Lieb

Confirmation

1

Document Type

Poster

Location

ONU McIntosh Center; McIntosh Activities Room

Start Date

21-4-2023 11:00 AM

End Date

21-4-2023 11:50 AM

Abstract

Abstract

Problem

Intestinal failure is becoming an increasingly prevalent health condition present in neonates which results in the need for a small-bowel resection. From this, the neonate develops short bowel syndrome which impedes nutrient absorption resulting in the need for total parenteral nutrition (TPN). Although TPN improves nutritional status, there are potential negative complications. Distal mucous fistula refeeding may be an option to improve nutrition without complications.

Purpose

The purpose of this study is to investigate if distal mucous fistula refeeding can decrease the demand for TPN.

Methods

A quasi-experimental research study will be conducted from January 1st, 2024, through December 31st, 2024, among infants in the Neonatal Intensive Care Unit with short-bowel syndrome, defined by loss of 25% or more of the small intestine. Participants under 1-year-old who have had distal mucous fistula refeeding will be compared to those who have not regarding the time frame and amount of TPN required and any negative outcome associated with TPN.

Conclusion

This study will clarify if distal mucous fistula refeeding is a safer treatment for those with short bowel syndrome when compared to non-refeeding. This can be used as the formation of evidence-based practice in relation to short gut syndrome.

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Apr 21st, 11:00 AM Apr 21st, 11:50 AM

Comparing Distal Mucous Fistula Refeeding vs Non-Refeeding in Neonates with Intestinal Diseases

ONU McIntosh Center; McIntosh Activities Room

Abstract

Problem

Intestinal failure is becoming an increasingly prevalent health condition present in neonates which results in the need for a small-bowel resection. From this, the neonate develops short bowel syndrome which impedes nutrient absorption resulting in the need for total parenteral nutrition (TPN). Although TPN improves nutritional status, there are potential negative complications. Distal mucous fistula refeeding may be an option to improve nutrition without complications.

Purpose

The purpose of this study is to investigate if distal mucous fistula refeeding can decrease the demand for TPN.

Methods

A quasi-experimental research study will be conducted from January 1st, 2024, through December 31st, 2024, among infants in the Neonatal Intensive Care Unit with short-bowel syndrome, defined by loss of 25% or more of the small intestine. Participants under 1-year-old who have had distal mucous fistula refeeding will be compared to those who have not regarding the time frame and amount of TPN required and any negative outcome associated with TPN.

Conclusion

This study will clarify if distal mucous fistula refeeding is a safer treatment for those with short bowel syndrome when compared to non-refeeding. This can be used as the formation of evidence-based practice in relation to short gut syndrome.