Gastric residuals in preterm infants

A randomized trial in preterm infants compared outcomes in infants 24 – 32 weeks gestation in whom gastric residuals were routinely checked prior to every feed versus those in whom residuals were not checked. An algorithm guided all other aspects of the feeding regimen. There was no difference in the two groups in terms of volume of feeding at 2 – 3 weeks, growth, days on parenteral nutrition, or complications. There was no statistically significant difference between the two groups in the days taken to reach a feed volume of 150 ml/kg/day, duration of central venous access and the rate of necrotizing enterocolitis, although the sample size was small (61 infants).

The value of routine evaluation of gastric residuals in very-low-birth-weight infants. Torrazza et al, 2014.