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Nutritional management of neonates who undergo major surgery for gastrointestinal disorders: a joint position paper of the Italian Society of Neonatology (SIN), the Italian Society of Pediatric Surgery (SICP), and the Italian Society of Pediatric Nutrition (SINUPE).

Position statement or standardsItalian Society of Neonatology (SIN), SICP and SINUPE2026Full text
  • Abdominal wall defects
  • Allied health
  • Bowel obstruction
  • Breast milk and breastfeeding
  • Congenital diaphragmatic hernia
  • Enteral feeding
  • Growth
  • Medical
  • Necrotising enterocolitis
  • Nursing
  • Nutrition and gastrointestinal
  • Oesophageal atresia
  • Parenteral nutrition
  • Surgical conditions

Summary

This joint position paper from three Italian societies (neonatology, paediatric surgery and paediatric nutrition) offers expert, evidence-informed suggestions for the nutritional care of neonates undergoing major gastrointestinal surgery. It covers the timing and modalities of enteral nutrition, choice of milk with priority given to human milk, and vitamin and trace element supplementation. Condition-specific guidance addresses oesophageal atresia, congenital diaphragmatic hernia, chylothorax, intestinal atresia, abdominal wall defects, Hirschsprung disease, necrotising enterocolitis and intestinal failure. It emphasises early enteral nutrition tailored to tolerance, monitoring for micronutrient deficiencies and promoting oral feeding skills.

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Open (Creative Commons)

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