ArticleThe Journal of perinatal & neonatal nursing
Aspiration and evaluation of gastric residuals in the neonatal intensive care unit: state of the science.
Article in The Journal of perinatal & neonatal nursing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 23 papers, 3 of them syntheses that pooled it.
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.
Enteral Nutrition Tolerance and Non-invasive Respiratory Support in Preterm Infants
Routine Versus no Assessment of Gastric Residual Volumes in Very Low Birth Weight Infants Receiving Enteral Feeding Via Intermittent Feeding Tubes: A Randomized Controlled Trial.
The Effect of Position Given to Preterms After Feeding on Gastric Residual Volume, Abdominal Oxygenation and Fractional Oxygen Extraction
The Effect of Day-Night Cycle on the Transition Time to Full Enteral Feeding in Preterm Newborns Receiving Oropharyngeal Colostrum
Who cites it
23 citing papers in PubMed, 3 syntheses or guidelines pooled it, 55 citations in OpenAlex.
- Re-feeding versus discarding gastric residuals to improve growth in preterm infants.The Cochrane database of systematic reviews · 2023Pooled it
- Routine monitoring of gastric residual for prevention of necrotising enterocolitis in preterm infants.The Cochrane database of systematic reviews · 2023Pooled it
- Re-feeding versus discarding gastric residuals to improve growth in preterm infants.The Cochrane database of systematic reviews · 2019Pooled it
- The role of probiotics in nutritional intake and clinical outcomes of critically Ill children with severe sepsis: a double-blind, placebo-controlled trial.Scientific reports · 2026Trial
- Trial
- Composition of Coloured Gastric Residuals in Extremely Preterm Infants-A Nested Prospective Observational Study.Nutrients · 2020Trial
- Faster Gastric Emptying Is Unrelated to Feeding Success in Preterm Infants: Randomized Controlled Trial.Nutrients · 2019Trial
- The effects of position on gastric residual volume of premature infants in NICU.Italian journal of pediatrics · 2019Trial
- Development of the preterm infant gut and gastric residuals microbiome.Nature communications · 2025Article
- Time to Reach Full Enteral Feeding and Its Predictors among Very Low Birth Weight Neonates Admitted in the Neonatal Intensive Care Unit: A Follow-Up Cohort Study.Journal of nutrition and metabolism · 2024Article
- Feeding intolerance scoring system in very preterm and very low birth weight infants using clinical and ultrasound findings.Frontiers in pediatrics · 2024Article
- Feeding intolerance.Early human development · 2022Article
- Association of gastric residual volumes with necrotising enterocolitis in extremely preterm infants-a case-control study.European journal of pediatrics · 2022Article
- Gastric Volume Changes in Preterm Neonates during Intermittent and Continuous Feeding-GRV and Feeding Mode in Preterm Neonates.Children (Basel, Switzerland) · 2021Article
- Gastric residual volume measurement in British neonatal intensive care units: a survey of practice.BMJ paediatrics open · 2020Article
- Do we control gastric residuals unnecessarily in premature newborns? AGRA study: avoidance of gastric residual aspiration.World journal of pediatric surgery · 2020Article
- Differences in attitudes to feeding post repair of Gastroschisis and development of a standardized feeding protocol.BMC pediatrics · 2019Article
- Routine monitoring of gastric residual for prevention of necrotising enterocolitis in preterm infants.The Cochrane database of systematic reviews · 2019Review
- Article
- Use of pH reagent strips to verify gastric tube placement in newborns.Revista latino-americana de enfermagem · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
Abstract
The routine aspiration of gastric residuals (GR) is considered standard care for critically ill infants in the neonatal intensive care unit (NICU). Unfortunately, scant information exists regarding the risks and benefits associated with this common procedure. This article provides the state of the science regarding what is known about the routine aspiration and evaluation of GRs in the NICU focusing on the following issues: (1) the use of GRs for verification of feeding tube placement, (2) GRs as an indicator of gastric contents, (3) GRs as an indicator of feeding intolerance or necrotizing enterocolitis, (4) the association between GR volume and ventilator-associated pneumonia, (5) whether GRs should be discarded or refed, (6) the definition of an abnormal GR, and (7) the potential risks associated with aspiration and evaluation of GRs. Recommendations for further research and practice guidelines are also provided.
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.