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Recent evidence supporting mucous fistula refeeding
Below you will find 4 recommended articles to increase your knowledge around the process and benefits of mucous fistula refeeding in infants and premature babies. Additionally, a poster publication assessing mucous fistula refeeding through a systematic literature review is available to read and download.
Please note the 4 articles are hosted behind journal paywalls and Coloplast is not responsible for content on external pages.
Mucous fistula refeeding; Assessed by physicians and through a systematic literature review of reported benefits and risks
Purpose: Mucous fistula refeeding of proximal stoma effluent in neonates after small bowel resection can promote nutrient absorption and prevent atrophy of the unused distal bowel. This study aimed to assess the safety of this practice in neonates.
Conclusion: MF refeeding is a safe technique that has the potential to contribute to significant weight gain and a decreased dependence on total parenteral nutrition.
Beneficial effects of mucous fistula refeeding in necrotizing enterocolitis neonates with enterostomies
Background: Necrotizing enterocolitis in premature neonates often results in bowel resection and stoma formation. One way to promote bowel adaptation before stoma closure is to introduce proximal loop effluents into the mucous fistula. In this study, we reviewed our experience with distal loop refeeding with respect to control group.
Conclusions: Mucous fistula refeeding is safe and can decrease risk of anastomotic complication and parental nutrition related cholestasis. It provides both diagnostic and therapeutic value preoperatively and its use should be advocated. Level III Treatment Study in a Case Control Manner.
Authors: Lau E, Fung A, Wong K, Tam P. Beneficial effects of mucous fistula refeeding in necrotizing enterocolitis neonates with enterostomies. Journal of Pediatric Surgery. 2016;51(12):1914-1916.
Safety and efficacy of mucous fistula refeeding in low-birth-weight infants with enterostomies
Purpose: To investigate the safety and efficacy of mucous fistula refeeding (MFR) in low-birth-weight infants.
Conclusion: MFR was able to diminish the need for parenteral nutrition which potentially decreased the incidence of PN-associated liver disease, and was safe as there were no complications of the refeeding process.
Authors: Yabe K, Kouchi K, Takenouchi A, Matsuoka A, Korai T, Nakata C. Safety and efficacy of mucous fistula refeeding in low-birth-weight infants with enterostomies. Pediatric Surgery International. 2019;35(10):1101-1107.
The feasibility of routine use of distal stoma refeeding method in newborns with enterostomy
Objective: Temporary enterostomies are life-saving in neonatal surgery, however, causing loss of fluid electrolyte, delays in distal bowel adaptation and thus delayed growth of newborns. In this study, we aimed to present the method and clinical results of distal stoma refeeding in premature and mature neonates.
Conclusions: Distal stoma refeeding is safe and successful method. The success of distal stoma refeeding depends on expert team, time, and equipment.
Authors: Sancar S, Sanal M, Renz O, Hechenleitner P. The feasibility of routine use of distal stoma refeeding method in newborns with enterostomy. The Journal of Maternal-Fetal & Neonatal Medicine. 2019;33(17):2897-2901.
Safety of mucous fistula refeeding in neonates with functional short bowel syndrome: A retrospective review
Purpose: Mucous fistula (MF) refeeding of proximal stoma effluent in neonates after small bowel resection can promote nutrient absorption and prevent atrophy of the unused distal bowel. This study aimed to assess the safety of this practice in neonates.
Conclusion: MF refeeding is a safe technique that has the potential to contribute to significant weight gain and a decreased dependence on total parenteral nutrition.
Authors: Elliott T, Walton J. Safety of mucous fistula refeeding in neonates with functional short bowel syndrome: A retrospective review. Journal of Pediatric Surgery. 2019;54(5):989-992.