Alpha 2.0
Login Register
» Articles » PMID: 6422864

Parenteral Nutrition Compared with Transpyloric Feeding

Overview
Journal Arch Dis Child
Specialty Pediatrics
Date 1984 Feb 1
PMID 6422864
Citations 6
Authors
E J Glass
R HUME
M A Lang
J O Forfar
Affiliations
Soon will be listed here.
Abstract

Fifty nine infants of birthweight less than 1500 g were allocated alternately to initial total parenteral nutrition or to transpyloric feeding. Mortality was similar between the two groups. Ten of the 29 infants in the transpyloric group failed to establish full enteral nutrition during the first week of life. No beneficial effects on growth were shown in infants receiving parenteral nutrition. Acquired bacterial infection was higher in the parenteral group and associated with morbidity and mortality. Conjugated hyperbilirubinaemia occurred only in the parenterally fed infants. The incidence of necrotising enterocolitis was higher in the transpyloric group. Parenteral nutrition does not confer any appreciable benefit and because of greater complexity and higher risk of complications should be reserved for those infants in whom enteral feeding is impossible.

Citing Articles

Delayed introduction of progressive enteral feeds to prevent necrotising enterocolitis in very low birth weight infants.

Young L, Oddie S, McGuire W Cochrane Database Syst Rev. 2022; 1:CD001970.

PMID: 35049036 PMC: 8771918. DOI: 10.1002/14651858.CD001970.pub6.

Delayed introduction of progressive enteral feeds to prevent necrotising enterocolitis in very low birth weight infants.

Morgan J, Young L, McGuire W Cochrane Database Syst Rev. 2014; (12):CD001970.

PMID: 25436902 PMC: 7063979. DOI: 10.1002/14651858.CD001970.pub5.

Randomised controlled trial of trophic feeding and gut motility.

McClure R, Newell S Arch Dis Child Fetal Neonatal Ed. 1999; 80(1):F54-8.

PMID: 10325814 PMC: 1720886. DOI: 10.1136/fn.80.1.f54.

Nasogastric compared with nasoduodenal feeding in low birthweight infants.

Laing I, Lang M, CALLAGHAN O, HUME R Arch Dis Child. 1986; 61(2):138-41.

PMID: 3082297 PMC: 1777578. DOI: 10.1136/adc.61.2.138.

Plasma amino acid concentrations in parenterally fed preterm infants.

Clark D, Henderson M, Smith M, Dear P Arch Dis Child. 1989; 64(7 Spec No):939-42.

PMID: 2505693 PMC: 1590094. DOI: 10.1136/adc.64.7_spec_no.939.

References
1.
Heird W, Driscoll Jr J, Schullinger J, Grebin B, WINTERS R . Intravenous alimentation in pediatric patients. J Pediatr. 1972; 80(3):351-72. DOI: 10.1016/s0022-3476(72)80492-x. View
2.
Glass L, Lala R, Jaiswal V, Nigam S . Effect of thermal environment and caloric intake on head growth of low birthweight infants during late neonatal period. Arch Dis Child. 1975; 50(7):571-3. PMC: 1544604. DOI: 10.1136/adc.50.7.571. View
3.
Yu V, Rolfe P . Effect of feeding on ventilation and respiratory mechanics in newborn infants. Arch Dis Child. 1976; 51(4):310-3. PMC: 1545943. DOI: 10.1136/adc.51.4.310. View
4.
Fujimura M . Factors which influence the timing of maximum growth rate of the head in low birthweight infants. Arch Dis Child. 1977; 52(2):113-7. PMC: 1546196. DOI: 10.1136/adc.52.2.113. View
5.
Brans Y . Parenteral nutrition of the very low birth weight neonate: a critical view. Clin Perinatol. 1977; 4(2):367-76. View