Evidence map›Paper›PMID 36991415›Full record

Trial reportBMC pediatrics2023

Efficacy and safety of mucous fistula refeeding in preterm infants: an exploratory randomized controlled trial.

Eun Sun Lee, Ee-Kyung Kim, Seung Han Shin, Young Hwa Jung, In-Gyu Song, Yoo-Jin Kim, Hyun Young Kim, Young-Hun Choi, Kyung Chul Moon, Bohyun Kim

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC pediatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02812095 (Efficacy and Safety of Refeeding in Preterm Infants With Enterostomy), which is not on this map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 16% of its field
1 · What the graph read from 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.

2 · The registry

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.

NCT02812095 nacompletednot on this map

Efficacy and Safety of Refeeding in Preterm Infants With Enterostomy

TypeinterventionalSponsorSeoul National University HospitalRan2014 to 2020Enrolled20ConditionsEnterostomyArmsRefeeding
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Chyme reinfusion practices in the neonatal population.Pediatric surgery international · 2024
    Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 2 countries.

Eun Sun LeeDepartment of Pediatrics, Seoul National University Children's Hospital, 101, Daehak-Ro, Jongno-Gu, Seoul, 03080, South Korea.
Ee-Kyung KimDepartment of Pediatrics, Seoul National University Children's Hospital, 101, Daehak-Ro, Jongno-Gu, Seoul, 03080, South Korea. kimek@snu.ac.kr.ORCID 0000-0002-7063-168X
Seung Han ShinDepartment of Pediatrics, Seoul National University Children's Hospital, 101, Daehak-Ro, Jongno-Gu, Seoul, 03080, South Korea.
Young Hwa JungDepartment of Pediatrics, Seoul National University Children's Hospital, 101, Daehak-Ro, Jongno-Gu, Seoul, 03080, South Korea.
In-Gyu SongDepartment of Pediatrics, Seoul National University Children's Hospital, 101, Daehak-Ro, Jongno-Gu, Seoul, 03080, South Korea.
Yoo-Jin KimDepartment of Pediatrics, Seoul National University Children's Hospital, 101, Daehak-Ro, Jongno-Gu, Seoul, 03080, South Korea.
Hyun Young KimDepartment of Pediatric Surgery, Seoul National University Children's Hospital, Seoul, Republic of Korea.
Young-Hun ChoiDepartment of Radiology, Seoul National University Children's Hospital, Seoul, Republic of Korea.
Kyung Chul MoonDepartment of Pathology, Seoul National University Children's Hospital, Seoul, Republic of Korea.
Bohyun KimDepartment of Pathology, Seoul National University Children's Hospital, Seoul, Republic of Korea.
Seoul National University Children's Hospital · KRKorea University Medical Center · KRSeoul National University · KRSeoul National University Bundang Hospital · KRSeoul National University Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to evaluate whether mucous fistula refeeding (MFR) is safe and beneficial for the growth and intestinal adaptation of preterm infants with enterostomies.

methodsThis exploratory randomized controlled trial enrolled infants born before 35 weeks' gestation with enterostomy. If the stomal output was ≥ 40 mL/kg/day, infants were assigned to the high-output MFR group and received MFR. If the stoma output was < 40 mL/kg/day, infants were randomized to the normal-output MFR group or the control group. Growth, serum citrulline levels, and bowel diameter in loopograms were compared. The safety of MFR was evaluated.

resultsTwenty infants were included. The growth rate increased considerably, and the colon diameter was significantly larger after MFR. However, the citrulline levels did not significantly differ between the normal-output MFR and the control group. One case of bowel perforation occurred during the manual reduction for stoma prolapse. Although the association with MFR was unclear, two cases of culture-proven sepsis during MFR were noted.

conclusionsMFR benefits the growth and intestinal adaptation of preterm infants with enterostomy and can be safely implemented with a standardized protocol. However, infectious complications need to be investigated further.

trial registrationclinicaltrials.gov NCT02812095, retrospectively registered on June 6, 2016.

Indexed as

Enterocolitis, NecrotizingEnterostomyFistulaCitrullineHumansInfantInfant, NewbornInfant, PrematureIntestinesCitrullineCitrullineEnterostomyMucous fistula refeedingNecrotizing enterocolitisPreterm infantsRandomized controlled trialShort bowel syndrome

Identifiers

PMID36991415
PMCPMC10053085
OpenAlexW4361199157

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.