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Enteral Feeding in Very-Low-Birth-Weight Infants: A Comparison of Two Nasogastric Methods

Enteral Feeding in Very-Low-Birth-Weight Infants: A Comparison of Two Nasogastric Methods Abstract • Nutritional benefits and feeding-related complications were prospectively compared in 53 preterm very-low-birth-weight infants receiving isoenergetic feeding by either the continuous nasogastric (n=30) or intermittent nasogastric (n=23) route. Stepwise regression techniques were used to develop models relating feeding-associated factors. Feeding method significantly affected weight gain in infants 1000 to 1249 g birth weight with continuous nasogastric feeding associated with an additional weight gain of 3.6 to 6.1 g/kg/d. No effects of feeding method on changes in occipitofrontal circumference, triceps skin-fold thickness, bilirubin values, or total protein values were demonstrable. There were few major differences between feeding groups on measures of feeding complications. Continuous nasogastric feeding was fairly well tolerated and resulted in improved weight gain when compared with Intermittent nasogastric feeding in preterm infants 1000 to 1249 g birth weight. (AJDC 1987;141:439-444) References 1. Valman HB, Heath CD, Brown RJK: Continuous intragastric milk feeds in infants of low birth weight . Br Med J 1972;3:547-550.Crossref 2. Landwirth J: Continuous nasogastric infusion versus total intravenous alimentation . J Pediatr 1972;81:1037-1038.Crossref 3. Landwirth J: Continous nasogastric infusion feedings of infants of low birth weight . Clin Pediatr 1974;13:603-608.Crossref 4. Krishnan V, Satish M: Continuous versus intermittent nasogastric feeding in very low birth weight infants, abstracted . Pediatr Res 1981;15:537.Crossref 5. Urrutia JG, Poole E: Continuous nasogastric versus intermittent gavage feedings in very low birth weight infants, abstracted . Pediatr Res 1983;17:203. 6. Parker P, Stroop S, Greene H: A controlled comparison of continuous versus intermittent feeding in the treatment of infants with intestinal disease . J Pediatr 1981;99:360-364.Crossref 7. Andrassy RJ, Page CP, Feldtman RW, et al: Continual catheter administration of an elemental diet in infants and children . Surgery 1977;82: 205-210. 8. Ferry GD, Selby M, Pietro TJ: Clinical response to short-term nasogastric feeding in infants with gastroesophageal reflex and growth failure . J Pediatr Gastroenterol Nutr 1983;2:57-61.Crossref 9. Vanderhoof JA, Hofschire PJ, Baluff MA, et al: Continuous enteral feedings: An important adjunct to the management of complex congenital heart disease . AJDC 1982;136:825-827. 10. Cataldi-Betcher EL, Seltzer MH, Slocum BA, et al: Complications occurring during enteral nutrition support: A prospective study . JPEN 1983;7:546-552.Crossref 11. Ballard JL, Novak KK, Driver M: A simplified score for assessment of fetal maturation of newly born infants . J Pediatr 1979;95:769-774.Crossref 12. Babson SG: Feeding the low-birth-weight infant . J Pediatr 1971;79:694-701.Crossref 13. Wu PYK, Teilmann P, Galber M, et al: 'Early' versus 'late' feeding of low birth weight neonates: Effect on serum bilirubin, blood sugar, and responses to glucagon and epinephrine tolerance tests . Pediatrics 1967;39:733-739. 14. Berg RB, Schuster SR, Colodny AH: The use of gastrostomy in feeding premature infants . Pediatrics 1964;33:287-289. 15. Rhea JW, Kilby JO: A nasojejunal tube for infant feeding . Pediatrics 1970;46:36-40. 16. Vengusamy S, Pildes RS, Raffensperger JF, et al: A controlled study of feeding gastrostomy in low birth weight infants . Pediatrics 1969;43:815-820. 17. Van Caillie M, Powell GK: Nasoduodenal versus nasogastric feeding in the very low birth weight infant . Pediatrics 1975;56:1065-1072. 18. Drew JH, Johnston R, Finocchiaro C, et al[ill] A comparison of nasojejunal with nasogastric feedings in low-birth-weight infants . Aus[ill] Paediatr J 1979;15:98-100. 19. Pereira GR, Lemons JA: Controlled study of transpyloric and intermittent gavage feeding in the small preterm infant . Pediatrics 1981;67:68-72. 20. Roy RN, Pollnitz RP, Hamilton JR, et al: Impaired assimilation of nasojejunal feeds in healthy low—birth weight newborn infants J Pediatr 1977;90:431-434.Crossref 21. Schreiner RL: Feeding the neonate weight ing less than 1500 grams: Nutrition and beyond in Sunshine P (ed): Proceedings of the 79th Ross Conference on Pediatric Research . Columbus Ohio, Ross Laboratories, 1980, p 139. 22. Brown EG, Sweet AY: Preventing necrotizing enterocolitis in neonates . JAMA 1978;240: 2452-2454.Crossref 23. Goldman HI: Feeding and necrotizing en[ill] terocolitis . AJDC 1980;134:553-555. 24. Aynsley-Green A, Adrian TE, Bloom SR: Feeding and the development of enteroinsular hormone secretion in the preterm infant: Effects of continuous gastric infusions of human milk compared with intermittent boluses . Acta Paediatr Scand 1982;71:379-383.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

Enteral Feeding in Very-Low-Birth-Weight Infants: A Comparison of Two Nasogastric Methods

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References (28)

Publisher
American Medical Association
Copyright
Copyright © 1987 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1987.04460040097025
Publisher site
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Abstract

Abstract • Nutritional benefits and feeding-related complications were prospectively compared in 53 preterm very-low-birth-weight infants receiving isoenergetic feeding by either the continuous nasogastric (n=30) or intermittent nasogastric (n=23) route. Stepwise regression techniques were used to develop models relating feeding-associated factors. Feeding method significantly affected weight gain in infants 1000 to 1249 g birth weight with continuous nasogastric feeding associated with an additional weight gain of 3.6 to 6.1 g/kg/d. No effects of feeding method on changes in occipitofrontal circumference, triceps skin-fold thickness, bilirubin values, or total protein values were demonstrable. There were few major differences between feeding groups on measures of feeding complications. Continuous nasogastric feeding was fairly well tolerated and resulted in improved weight gain when compared with Intermittent nasogastric feeding in preterm infants 1000 to 1249 g birth weight. (AJDC 1987;141:439-444) References 1. Valman HB, Heath CD, Brown RJK: Continuous intragastric milk feeds in infants of low birth weight . Br Med J 1972;3:547-550.Crossref 2. Landwirth J: Continuous nasogastric infusion versus total intravenous alimentation . J Pediatr 1972;81:1037-1038.Crossref 3. Landwirth J: Continous nasogastric infusion feedings of infants of low birth weight . Clin Pediatr 1974;13:603-608.Crossref 4. Krishnan V, Satish M: Continuous versus intermittent nasogastric feeding in very low birth weight infants, abstracted . Pediatr Res 1981;15:537.Crossref 5. Urrutia JG, Poole E: Continuous nasogastric versus intermittent gavage feedings in very low birth weight infants, abstracted . Pediatr Res 1983;17:203. 6. Parker P, Stroop S, Greene H: A controlled comparison of continuous versus intermittent feeding in the treatment of infants with intestinal disease . J Pediatr 1981;99:360-364.Crossref 7. Andrassy RJ, Page CP, Feldtman RW, et al: Continual catheter administration of an elemental diet in infants and children . Surgery 1977;82: 205-210. 8. Ferry GD, Selby M, Pietro TJ: Clinical response to short-term nasogastric feeding in infants with gastroesophageal reflex and growth failure . J Pediatr Gastroenterol Nutr 1983;2:57-61.Crossref 9. Vanderhoof JA, Hofschire PJ, Baluff MA, et al: Continuous enteral feedings: An important adjunct to the management of complex congenital heart disease . AJDC 1982;136:825-827. 10. Cataldi-Betcher EL, Seltzer MH, Slocum BA, et al: Complications occurring during enteral nutrition support: A prospective study . JPEN 1983;7:546-552.Crossref 11. Ballard JL, Novak KK, Driver M: A simplified score for assessment of fetal maturation of newly born infants . J Pediatr 1979;95:769-774.Crossref 12. Babson SG: Feeding the low-birth-weight infant . J Pediatr 1971;79:694-701.Crossref 13. Wu PYK, Teilmann P, Galber M, et al: 'Early' versus 'late' feeding of low birth weight neonates: Effect on serum bilirubin, blood sugar, and responses to glucagon and epinephrine tolerance tests . Pediatrics 1967;39:733-739. 14. Berg RB, Schuster SR, Colodny AH: The use of gastrostomy in feeding premature infants . Pediatrics 1964;33:287-289. 15. Rhea JW, Kilby JO: A nasojejunal tube for infant feeding . Pediatrics 1970;46:36-40. 16. Vengusamy S, Pildes RS, Raffensperger JF, et al: A controlled study of feeding gastrostomy in low birth weight infants . Pediatrics 1969;43:815-820. 17. Van Caillie M, Powell GK: Nasoduodenal versus nasogastric feeding in the very low birth weight infant . Pediatrics 1975;56:1065-1072. 18. Drew JH, Johnston R, Finocchiaro C, et al[ill] A comparison of nasojejunal with nasogastric feedings in low-birth-weight infants . Aus[ill] Paediatr J 1979;15:98-100. 19. Pereira GR, Lemons JA: Controlled study of transpyloric and intermittent gavage feeding in the small preterm infant . Pediatrics 1981;67:68-72. 20. Roy RN, Pollnitz RP, Hamilton JR, et al: Impaired assimilation of nasojejunal feeds in healthy low—birth weight newborn infants J Pediatr 1977;90:431-434.Crossref 21. Schreiner RL: Feeding the neonate weight ing less than 1500 grams: Nutrition and beyond in Sunshine P (ed): Proceedings of the 79th Ross Conference on Pediatric Research . Columbus Ohio, Ross Laboratories, 1980, p 139. 22. Brown EG, Sweet AY: Preventing necrotizing enterocolitis in neonates . JAMA 1978;240: 2452-2454.Crossref 23. Goldman HI: Feeding and necrotizing en[ill] terocolitis . AJDC 1980;134:553-555. 24. Aynsley-Green A, Adrian TE, Bloom SR: Feeding and the development of enteroinsular hormone secretion in the preterm infant: Effects of continuous gastric infusions of human milk compared with intermittent boluses . Acta Paediatr Scand 1982;71:379-383.Crossref

Journal

American Journal of Diseases of Children – American Medical Association

Published: Apr 1, 1987

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