Minimal enteral nutrition |
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Authors: | Ramesh Agarwal Dr Rajiv Aggarwal Ashok K Deorari Vinod K Paul |
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Institution: | (1) Present address: Division of Neonatology, Department of Pediatrics, All India Institute of Medical Sciences, Ansari Nagar, 110029 New Delhi, India |
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Abstract: | Although parenteral nutrition has been used widely in the management of sick very low birth weight (VLBW) infants, a smooth
transition to the enteral route is most desirable. Animal studies have shown that long periods of starvation are associated
with mucosal atrophy and reduction of enzymatic activity. Studies have shown that giving small volumes of feeds frequently
exerts a trophic effect on the gut mucosa. This concept has been termed as Minimal Enteral Nutriton (MEN). Clinical benefits
of MEN include faster progression to full enteral feeds, lesser episodes of feed intolerance and reduction in hospital stay
without a concomitant increase in the risk of necrotizing enterocolitis. MEN may be commenced in neonates on ventilation and
total parenteral nutrition. A protocol for giving MEN has been described. |
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Keywords: | Enteral nutrition VLBW infants Neonates |
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