SynthesisPediatric cardiology2011
Feeding complications in hypoplastic left heart syndrome after the Norwood procedure: a systematic review of the literature.
Synthesis in Pediatric cardiology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.
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The trial behind it
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Who cites it
22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 54 citations in OpenAlex.
- Cardiogenic Necrotizing Enterocolitis in Infants with Congenital Heart Disease: A Systematic Review and Meta-analysis.Pediatric cardiology · 2025Pooled it
- Nutrition algorithms for infants with hypoplastic left heart syndrome; birth through the first interstage period.Congenital heart diseaseGuideline
- Variation in feeding practices following the Norwood procedure.The Journal of pediatrics · 2014Trial
- Necrotizing Enterocolitis in Infants with Hybrid Stage 1 Palliation is Common and Difficult to Predict.Pediatric cardiology · 2026Article
- Comparison of Necrotizing Enterocolitis After Surgical Norwood versus Hybrid Stage 1 Palliation.Pediatric cardiology · 2025Article
- Perioperative Nutrition in Pediatric Patients with Congenital Heart Disease and Heart Failure.Nutrients · 2025Review
- Cardiovascular intensive care unit variables inform need for feeding tube utilization in infants with hypoplastic left heart syndrome.The Journal of thoracic and cardiovascular surgery · 2023Article
- Factors Associated with Delayed Transition to Oral Feeding in Infants with Single Ventricle Physiology.The Journal of pediatrics · 2019Article
- Feeding methods for infants with single ventricle physiology are associated with length of stay during stage 2 surgery hospitalization.Congenital heart disease · 2019Observational
- Dysphagia in infants with single ventricle anatomy following stage 1 palliation: Physiologic correlates and response to treatment.Congenital heart disease · 2017Article
- "I was so worried about every drop of milk" - feeding problems at home are a significant concern for parents after major heart surgery in infancy.Maternal & child nutrition · 2017Article
- Results of a Feeding Protocol in Patients Undergoing the Hybrid Procedure.Pediatric cardiology · 2016Article
- Site of interstage outpatient care and growth after the Norwood operation.Cardiology in the young · 2015Article
- Retrospective Study of Gabapentin for Poor Oral Feeding in Infants With Congenital Heart Disease.Global pediatric health · 2015Article
- Tachyarrhythmias after the Norwood procedure: relationship and effect of vasoactive agents.Pediatric cardiology · 2014Article
- Abnormal abdominal aorta hemodynamics are associated with necrotizing enterocolitis in infants with hypoplastic left heart syndrome.Pediatric cardiology · 2014Article
- Normal interstage growth after the norwood operation associated with interstage home monitoring.Pediatric cardiology · 2012Article
- Identification of Risk Factors for Poor Feeding in Infants with Congenital Heart Disease and a Novel Approach to Improve Oral Feeding.Journal of pediatric nursingArticle
- Transition to home after neonatal surgery for congenital heart disease.MCN. The American journal of maternal child nursingArticle
- Noncompliance to a Postoperative Algorithm Using Feeding Readiness Assessments Prolonged Length of Stay at a Pediatric Heart Institute.Pediatric quality & safetyArticle
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Gastrointestinal and feeding complications after the Norwood procedure in infants with hypoplastic left heart syndrome increases morbidity and mortality. These problems are the result of intraoperative challenges, shunt-dependent physiology, and the absence of best-practice guidelines. In response, a systematic review of feeding-related complications and management strategies was performed. A literature search from 1950 to March 2010 identified 21 primary research articles and 4 reviews. Dysphagia, necrotizing enterocolitis (NEC), and poor nutritional status are significant feeding-related complications. Three studies directly compared the modified Blalock-Taussig shunt with the right ventricle-to-pulmonary artery conduit (RV-PA). Patients palliated with either shunt had impaired mesenteric blood flow. Mortality did not differ between shunt types. Three studies demonstrated improved outcomes, e.g., increased survival, decreased incidence of NEC, and decreased median time to recommended daily allowance of calories, with a postoperative feeding algorithm. Two studies showed increased survival between stage I and II surgical palliation after implementation of a home-monitoring system consisting of daily weight and systemic oxygen saturation measurements. The RV-PA shunt does not significantly alter mortality or increase mesenteric blood flow. A postoperative feeding algorithm and a home-monitoring system may improve outcomes and decrease average hospital length of stay (LOS). Additional studies are needed to determine which interventions, as part of a standardized protocol, improve survival and decrease complications.
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Registered trials
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