ArticlePediatric radiology2004
Blood flow parameters of the superior mesenteric artery as an early predictor of intestinal dysmotility in preterm infants.
Article in Pediatric radiology, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
22 citing papers in PubMed, 79 citations in OpenAlex.
- Probiotics supplementation increases intestinal blood flow velocity in extremely low birth weight preterm infants.Journal of perinatology : official journal of the California Perinatal Association · 2013Trial
- Feeding challenges in larger versus smaller preterm discordant twins.Frontiers in pediatrics · 2026Article
- New Perspectives of Underlying Cardiomyopathy in Pediatric SMA Patients-An Age Matched Control Study.Life (Basel, Switzerland) · 2025Article
- Nutritional Management for Preterm Infants with Common Comorbidities: A Narrative Review.Nutrients · 2025Review
- Site-specific pathophysiology in a neonatal mouse model of gastroparesis.Neurogastroenterology and motility · 2023Article
- Measuring gut perfusion and blood flow in neonates using ultrasound Doppler of the superior mesenteric artery: a narrative review.Frontiers in pediatrics · 2023Review
- Feeding intolerance.Early human development · 2022Article
- Prediction of necrotizing enterocolitis in very low birth weight infants by superior mesenteric artery ultrasound of postnatal day 1: A nested prospective study.Frontiers in pediatrics · 2022Article
- Early-life malnutrition causes gastrointestinal dysmotility that is sexually dimorphic.Neurogastroenterology and motility · 2020Article
- Recent Advances of Mucosal Capnometry and the Perspectives of Gastrointestinal Monitoring in the Critically Ill. A Pilot Study.Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures) · 2016Article
- Doppler flowmetry of the superior mesenteric artery and portal vein: impact for the early prediction of necrotizing enterocolitis in neonates.Pediatric surgery international · 2015Article
- Very early postnatal changes in splanchnic circulation in term infants.Pediatric radiology · 2014Article
- Real-time bowel ultrasound to characterize intestinal motility in the preterm neonate.Journal of perinatology : official journal of the California Perinatal Association · 2013Article
- Correlation of abdominal rSO2 with superior mesenteric artery velocities in preterm infants.Journal of perinatology : official journal of the California Perinatal Association · 2013Article
- The role of the intestinal microcirculation in necrotizing enterocolitis.Seminars in pediatric surgery · 2013Review
- Monitoring technologies in the neonatal intensive care unit: implications for the detection of necrotizing enterocolitis.Journal of perinatology : official journal of the California Perinatal Association · 2010Review
- Gastrointestinal pathology in neonates: new imaging strategies.Pediatric radiology · 2010Review
- Neonatal colour Doppler ultrasound study: normal values of abdominal blood flow velocities in the neonate during the first month of life.Pediatric radiology · 2009Article
- Nasal continuous positive airway pressure affects pre- and postprandial intestinal blood flow velocity in preterm infants.Journal of perinatology : official journal of the California Perinatal Association · 2007Article
- Factors that influence mesenteric artery blood flow velocity in newborn preterm infants.Journal of perinatology : official journal of the California Perinatal Association · 2006Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBlood flow parameters in the superior mesenteric artery (SMA) change with vasoconstriction or vasodilatation of the intestinal vascular bed. In cases of severe growth retardation as a result of haemodynamic disturbances, the blood flow changes persist into postnatal life.
objectiveTo assess early changes of Doppler sonographic blood flow parameters in the SMA for prediction of later intestinal motility disturbances in preterm infants and tolerance of enteral feeding during the first week of life. MATERIALS AND
methodsDoppler sonographic blood flow parameters in the SMA were measured on the first day of life and the following 5 days in 478 neonates with a birth weight below 1,500 g. According to the Doppler results, the neonates were divided into two groups-those with pathological parameters and those with normal blood flow parameters. Correlations between blood flow parameters, the development of intestinal dysmotility and the tolerated amount of enteral feeding were calculated.
resultsPathological blood flow parameters were observed in 148 neonates (group 1) and normal blood flow parameters in 330 neonates (group 2). Intestinal motility disturbance occurred in 125 neonates (83%) of group 1 and 47 neonates (15%) of group 2. Neonates in group 2 tolerated significantly more feed by the fifth day of life than neonates in group 1. Postnatal adaptation did not differ between the two groups, although the majority of neonates with intestinal dysmotility were small for gestational age. The predictive value of blood flow parameters for prediction of intestinal motility revealed high sensitivity and specificity by the first postnatal day, 2 or 3 days before development of clinical signs of intestinal dysmotility. There was a strong negative correlation between pathological pulsatility index on day 1 and the quantity of tolerated enteral feeding on day 5.
conclusionsPathological blood flow parameters in the SMA can predict problems of intestinal motility and tolerance of enteral feeding. With the early detection of these problems a prompt start of adequate therapy to avoid complications is possible.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.