JPGN Journal Club April 2023: Post-Discharge Feeding Risks in Preterm Infants and Protocol-Guided Biopsies in Pediatric Endoscopy

Dr Alex Knisely is talking to Dr. Andreas Jenke — Journal Club again ! Two articles of particular interest and significance from the April, 2023, edition of JPGN are discussed. One examines how pre-term infants fare nutritionally during several years' follow-up and identifies a surprise risk factor for poor outcome : Prolonged ventilation (10 days or more). The other, which on behalf of the Histopathologists' Guild to which I belong as well as personally I find very welcome, validates the concept that one can see more with a microscope than with an endoscope : Protocol-guided biopsy at sites where the mucosa is not suspect for abnormality yields valuable diagnostic information, particularly on upper endoscopy. The messages, then : 1) Ensure nutritional support for your neonatal intensive-care unit graduates who have been ventilated for 10 days or more; 2) keep those biopsy specimens coming to your histopathology team! Prevalence and Risk Factors for Post-Discharge Feeding Problems in Children Born Extremely Preterm Alm, Stina MSc*; Stoltz Sjöström, Elisabeth PhD, RD†; Domellöf, Magnus MD, PhD* LINK: https://journals.lww.com/jpgn/Fulltext/2023/04000/Prevalence_and_Risk_Factors_for_Post_Discharge.21.aspx  The Yield of Routine Tissue Sampling in Pediatric Gastrointestinal Endoscopy Anafy, Adi MD *,† ; Amir, Achiya Z.MD *,† ; Brazowski, Eli MD ‡ ; Weintraub, Yael MD †,§ ; Yerushalmy Feler, Anat MD *,† ; Moran-Lev, Hadar MD *,† ; Dali Levy, Margalit RN * ; Ziv-Baran, Tomer PhD † ; Cohen, Shlomi MD *,† ; Ben-Tov, Amir MD *,† LINK:  https://journals.lww.com/jpgn/Abstract/2023/04000/The_Yield_of_Routine_Tissue_Sampling_in_Pediatric.19.aspx