Does prefeed gastric residual evaluation impair enteral nutrition intake in very preterm infants?

Prefeed gastric residuals are routinely evaluated in many NICUs. Evaluation aims to detect feed intolerance that might be associated with early NEC, and to reduce aspiration and VAP. However, evidence behind this practice is limited. It may reduce nutritional intake when feeds are stopped based on subjective assessments. This is concerning because adequate nutrition is essential for growth and neurodevelopment