Evidence map›Paper›PMID 38992154›Full record

ReviewPediatric research2026

Nutritional management after necrotizing enterocolitis and focal intestinal perforation in preterm infants.

Ingrid Mo, Alexandre Lapillonne, C H P van den Akker, Minesh Khashu, Mark J Johnson, Steven J McElroy, Gitte Zachariassen, ESPR Nutrition council including

Abstract readReview
PubMed Publisher
In one paragraph

Review in Pediatric research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Review
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

8 authors.

Ingrid MoDepartment of Clinical Research, University of Southern Denmark, 5000, Odense, Denmark.
Alexandre LapillonneDepartment of Neonatology, Necker-Enfants Malades Hospital, EHU 7328 PACT, University of Paris Cite, Paris, France.
C H P van den AkkerDepartment of Pediatrics-Neonatology, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands.
Minesh KhashuDepartment of Neonatology, University Hospitals Dorset NHS Foundation Trust, Dorset, United Kingdom.
Mark J JohnsonDepartment of Neonatal Medicine, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
Steven J McElroyDepartment of Pediatrics, Division of Neonatology, University of California Davis, Sacramento, CA, USA.
Gitte ZachariassenDepartment of Clinical Research, University of Southern Denmark, 5000, Odense, Denmark. gitte.zachariassen@rsyd.dk.ORCID http://orcid.org/0000-0003-4440-2362
ESPR Nutrition council including

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Nutritional management of preterm infants recovering from necrotizing enterocolitis (NEC) or focal intestinal perforation (FIP) is challenging, especially in infants managed surgically. The logistics of how, when, and what to feed are unclear and current nutritional practices are primarily based on physiological principles and consensus opinion in individual units, rather than high-quality evidence. The aim of this narrative review is to summarize the literature on nutritional management after NEC or FIP in preterm infants: when to restart enteral nutrition, type of enteral nutrition to use, and how to advance nutrition. We also discuss treatment of micronutrient deficiencies, cholestasis, replacement of stoma losses, and optimal time of stoma closure. In conclusion, there are in sufficient high-quality studies available to provide evidence-based recommendations on the best nutritional practice after NEC or FIP in preterm infants. A local or national consensus based early nutrition guideline agreed upon by a multidisciplinary team including pediatric surgeons, pediatricians/neonatologists, nurses, and nutritionists is recommended. Further studies are urgently needed. IMPACT: There is no good quality evidence or nutritional standard across neonatal units treating infants after medical or surgical NEC or FIP. With this review we hope to start providing some consistency across patients and between providers treating patients with NEC and FIP. Mother's own milk is recommended when restarting enteral nutrition after NEC or FIP. In the absence of high-quality evidence, a consensus based early nutrition guideline agreed upon by a multidisciplinary team is recommended. Nutritional research projects are urgently needed in NEC and FIP patients.

Indexed as

Enteral NutritionEnterocolitis, NecrotizingInfant, PrematureIntestinal PerforationHumansInfant, Newborn

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.