Associations of Gastrointestinal Complications and Adverse Outcomes After Cardiac Surgery

Liu, Qing; Xue, Fu‐Shan; Yang, Gui-Zhen; Liu, Ya‐Yang

doi:10.1053/j.jvca.2018.02.035

Cited by 1 publication

(2 citation statements)

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“…Then, gastrointestinal tract complications, such as gastrointestinal dysfunction, gastrointestinal bleeding, bloating, diarrhea, indigestion, and necrotizing enterocolitis, may occur and impede nutrient absorption. At present, perioperative management to meet the nutritional needs of infants after congenital cardiac surgery represents a serious challenge (8,9). In addition, infants may have persistent cardiac dysfunction and fluid retention after cardiac surgery, making it necessary to strictly limit the amount of fluid intake to reduce the workload of the heart (10).…”

Section: Discussionmentioning

confidence: 99%

“…The protein content of breast milk is reduced a week after birth and may be too low to meet infants' protein needs during the perioperative recovery phase (16,17). In particular, after congenital cardiac surgery, infants are further affected by the surgical trauma and cardiopulmonary bypass (8,9). Their energy needs are greater than those infants after general surgery.…”

Section: Discussionmentioning

confidence: 99%

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Effect of the Addition of Human Milk Fortifier to Breast Milk on the Early Recovery of Infants After Congenital Cardiac Surgery

Xie

Liu

et al. 2021

Front. Pediatr.

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Objective: This article studied the effect of breast milk supplemented with human milk fortifier (HMF) on the early recovery of infants after congenital cardiac surgery.Methods: Infants undergoing congenital cardiac surgery were randomly divided into an intervention group (n = 27) and a control group (n = 27). Infants in the intervention group received HMF, and those in the control group were exclusively breastfed. The nutritional indicators at discharge, the postoperative recovery status, and nutritional-related complications were recorded.Results: Compared with the control group at the time of discharge, the weight and albumin and prealbumin levels of the intervention group were significantly increased (P < 0.05). The length of hospital stay of the intervention group was significantly reduced compared with that of the control group (P < 0.05). Although the length of ICU stay for the intervention group was shorter than that of the control group, the difference was not significant (P > 0.05). No significant difference in the incidence of postoperative nutrition-related complications was noted between the two groups (P > 0.05).Conclusion: Compared with breastfeeding alone, with HMF can improve postoperative weight gains, reduce the length of stay, and promote infants' early recovery after congenital cardiac surgery.

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Section: Discussionmentioning

confidence: 99%