Efficacy and Safety of Orogastric vs. Nasogastric Tube Feeding in Preterm Infants: A Systematic Review and

Huazi Liu1, Qiang Fei1, Tianming Yuan1

  • 1Department of Neonatology, Children's Hospital, School of Medicine, Zhejiang University, National Clinical Research Center for Child Health and Disease, Hangzhou 310052, China.

PubMed

Insights

Nasogastric tube feeding in preterm infants is faster for establishing enteral nutrition compared to orogastric tube feeding. Further research is needed to assess adverse outcomes associated with different feeding routes.

Area of Science:

  • Neonatal care
  • Pediatric nutrition
  • Gastroenterology

Background:

  • Enteral nutrition delivery in preterm infants utilizes nasogastric (NG) or orogastric (OG) tubes.
  • Both NG and OG routes present distinct advantages and disadvantages.
  • Comparative analysis of these feeding methods is crucial for optimizing infant care.

Purpose of the Study:

  • To compare the efficacy of NG versus OG tube feeding in preterm infants.
  • To evaluate the impact of feeding route on infant growth and development.
  • To assess the incidence of adverse outcomes associated with NG and OG tube feeding.

Main Methods:

  • Meta-analysis of randomized controlled trials (RCTs).
  • Searched major databases: PubMed, Embase, Web of Science, Cochrane Central.
  • Assessed risk of bias using Cochrane tool v2; data analysis with Review Manager 5.4.

Main Results:

  • Included 6 studies with 265 preterm infants.
  • Orogastric tube feeding significantly delayed time to full enteral feeding (MD = 1.62, p < 0.01).
  • No significant difference in time to regain birth weight; insufficient data on adverse events.

Conclusions:

  • Nasogastric tube feeding facilitates quicker establishment of full enteral feeding in preterm infants compared to orogastric.
  • Further investigation is necessary to fully understand the impact of feeding routes on adverse events.
Abstract

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