{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T17:50:19Z","timestamp":1776448219716,"version":"3.51.2"},"reference-count":24,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur J Pediatr Surg"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Introduction\u2003Gastroschisis feeding practices vary. Standardized neonatal feeding protocols have been demonstrated to improve nutritional outcomes. We report outcomes of infants with gastroschisis that were fed with and without a protocol.<\/jats:p><jats:p>\n          Materials and Methods\u2003A retrospective study of neonates with uncomplicated gastroschisis at 11 children's hospitals from 2013 to 2016 was performed.<\/jats:p><jats:p>Outcomes of infants fed via institutional-specific protocols were compared with those fed without a protocol. Subgroup analyses of protocol use with immediate versus delayed closure and with sutured versus sutureless closure were conducted.<\/jats:p><jats:p>\n          Results\u2003Among 315 neonates, protocol-based feeding was utilized in 204 (65%) while no feeding protocol was used in 111 (35%). There were less surgical site infections (SSI) in those fed with a protocol (7 vs. 16%, p\u2009=\u20090.019). There were no differences in TPN duration, time to initial oral intake, time to goal feeds, ventilator use, peripherally inserted central catheter line deep venous thromboses, or length of stay. Of those fed via protocol, less SSIs occurred in those who underwent sutured closure (9 vs. 19%, p\u2009=\u20090.026). Further analyses based on closure timing or closure method did not demonstrate any significant differences.<\/jats:p><jats:p>\n          Conclusion\u2003Across this multi-institutional cohort of infants with uncomplicated gastroschisis, there were more SSIs in those fed without an institutional-based feeding protocol but no differences in other outcomes.<\/jats:p>","DOI":"10.1055\/s-0040-1721074","type":"journal-article","created":{"date-parts":[[2020,12,27]],"date-time":"2020-12-27T23:40:40Z","timestamp":1609112440000},"page":"153-159","source":"Crossref","is-referenced-by-count":8,"title":["Does Use of a Feeding Protocol Change Outcomes in Gastroschisis? A Report from the Midwest Pediatric Surgery Consortium"],"prefix":"10.1055","volume":"32","author":[{"given":"Charlene","family":"Dekonenko","sequence":"additional","affiliation":[{"name":"Department of Surgery, Children's Mercy Hospital, Kansas City, Missouri, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jason D.","family":"Fraser","sequence":"additional","affiliation":[{"name":"Department of Surgery, Children's Mercy Hospital, Kansas City, Missouri, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katherine","family":"Deans","sequence":"additional","affiliation":[{"name":"Department of Surgery, Nationwide Children's Hospital, Columbus, Ohio, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary E.","family":"Fallat","sequence":"additional","affiliation":[{"name":"Department of Surgery, Norton Children's Hospital, Louisville, Kentucky, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Helmrath","sequence":"additional","affiliation":[{"name":"Department of Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rashmi","family":"Kabre","sequence":"additional","affiliation":[{"name":"Department of Surgery, Ann and Robert H Lurie Children's Hospital of Chicago, Chicago, Illinois, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charles M.","family":"Leys","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery, Department of Surgery, University of Wisconsin, Madison, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R Cartland","family":"Burns","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery, Indiana University School of Medicine, Indianapolis, Indiana, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristine","family":"Corkum","sequence":"additional","affiliation":[{"name":"Department of Surgery, Ann and Robert H Lurie Children's Hospital of Chicago, Chicago, Illinois, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick A.","family":"Dillon","sequence":"additional","affiliation":[{"name":"Department of Surgery, St Louis Children's Hospital PACT, St. Louis, Missouri, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cynthia","family":"Downard","sequence":"additional","affiliation":[{"name":"Department of Surgery, Norton Children's Hospital, Louisville, Kentucky, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tiffany N.","family":"Wright","sequence":"additional","affiliation":[{"name":"Department of Surgery, Norton Children's Hospital, Louisville, Kentucky, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samir K.","family":"Gadepalli","sequence":"additional","affiliation":[{"name":"Department of Surgery, C S Mott Children's Hospital, Ann Arbor, Michigan, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julia","family":"Grabowski","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Ann and Robert H Lurie Children's Hospital of Chicago, Chicago, Illinois, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edward","family":"Hernandez","sequence":"additional","affiliation":[{"name":"Department of Surgery, Riley Hospital for Children at Indiana University Health, Indianapolis, Indiana, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ronald","family":"Hirschl","sequence":"additional","affiliation":[{"name":"Department of Surgery, C S Mott Children's Hospital, Ann Arbor, Michigan, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin N.","family":"Johnson","sequence":"additional","affiliation":[{"name":"Department of Surgery, C S Mott Children's Hospital, Ann Arbor, Michigan, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan","family":"Kohler","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Wisconsin Madison, Madison, Wisconsin, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew P.","family":"Landman","sequence":"additional","affiliation":[{"name":"Department of Surgery, Riley Hospital for Children at Indiana University Health, Indianapolis, Indiana, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachel M.","family":"Landisch","sequence":"additional","affiliation":[{"name":"Department of Surgery, Children's Hospital of Wisconsin, Milwaukee, Wisconsin, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amy E.","family":"Lawrence","sequence":"additional","affiliation":[{"name":"Department of Surgery, Nationwide Children's Hospital, Columbus, Ohio, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Grace Z.","family":"Mak","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Chicago Comer Children's Hospital, Chicago, Illinois, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Minneci","sequence":"additional","affiliation":[{"name":"Center for Surgical Outcomes Research, Nationwide Children's Hospital, Columbus, Ohio, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Beth","family":"Rymeski","sequence":"additional","affiliation":[{"name":"Department of Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas T.","family":"Sato","sequence":"additional","affiliation":[{"name":"Department of Surgery, Children's Hospital of Wisconsin, Milwaukee, Wisconsin, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bethany J.","family":"Slater","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Chicago Comer Children's Hospital, Chicago, Illinois, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"St. Shawn D.","family":"Peter","sequence":"additional","affiliation":[{"name":"Department of Surgery, Center for Prospective Trials, Children's Mercy Hospital, Kansas City, Missouri, United 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