Early Closure of Gastroschisis After Silo Placement Correlates with Earlier Enteral Feeding

Authors

  • Jamie Harris Division of General Surgery, Rush University Medical Center
  • Jennifer Poirier Division of General Surgery, Rush University Medical Center
  • Debra Selip Rush Fetal and Neonatal Medicine Center, Rush Children's Hospital
  • Srikumar Pillai Division of Pediatric Surgery, Rush University Medical Center
  • Ami N Shah Division of Pediatric Surgery, Rush University Medical Center
  • Carl-Christian Jackson Division of Pediatric Surgery, Floating Hospital for Children
  • Bill Chiu Division of Pediatric Surgery, Rush University Medical Center

DOI:

https://doi.org/10.52783/jns.v4.199

Keywords:

Closure timing, Gastroschisis, Enteral feeding, Silo

Abstract

Objectives: Gastroschisis is a congenital anomaly affecting 2.3-4.4/10,000 births. Previous studies show initiation of early enteral feeds predicts improved outcomes. We hypothesize that earlier definitive closure after silo placement; can lead to earlier enteral feed initiation.

Design/ Setting/ Duration: Retrospective review of patients with gastroschisis from 2005 and 2014 at a single institution.

Material and Methods: The data, including ethnicity, gestational age, birth weight, time to definitive closure, and time of first and full feeds, were analyzed using both Spearman’s rho and the Kruskal-Wallis rank sum test where appropriate; a p value <0.05 was considered significant.

Results: Forty-three patients (24 males, 19 females) born with gastroschisis were identified. Overall survival rate was 88% (38/43). Forty of the 43 patients had a silo placed prior to definitive closure. Median days to closure were 6 (0 to 85) days. First feeds on average began on day of life (DOL) 17, and full feeds on DOL 25. Earlier closure of gastroschisis correlated with early initiation of feeds (p=0.0001) and shorter time to full feeds (p=0.018), closure by DOL4 showed a trend toward earlier feeding (p=0.13).

Conclusion: Earlier closure of gastroschisis after silo placement was associated with earlier feed initiation and shorter time to full feeds.

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Published

2015-06-30

How to Cite

1.
Harris J, Poirier J, Selip D, Pillai S, Shah AN, Jackson C-C, et al. Early Closure of Gastroschisis After Silo Placement Correlates with Earlier Enteral Feeding. J Neonatal Surg [Internet]. 2015 Jun. 30 [cited 2026 Mar. 3];4(3):J Neonat Surg. 2015; 4(3):28. Available from: https://jneonatalsurg.com/index.php/jns/article/view/199

Issue

Vol. 4 No. 3 (2015): Journal of Neonatal Surgery

Section

Original Article

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Copyright (c) 2015 Journal of Neonatal Surgery

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