PMID: 9665103Jul 17, 1998Paper

Slow infusion feedings enhance duodenal motor responses and gastric emptying in preterm infants

The American Journal of Clinical Nutrition
K de VilleCarol Lynn Berseth

Abstract

It is unknown whether it is better to feed preterm infants intragastrically by bolus or continuous infusion. This study compared the effect of 2 feeding rates on antral and duodenal motor responses and gastric emptying. Continuous perfusion manometry with a low-compliance machine was performed in 22 infants given feedings at 2 infusion rates. Gastric emptying was also assessed by using a dye-dilution technique to determine whether changes in motor response were reflected by changes in function. The number of antral contractions with both feeding rates decreased from that seen during fasting. Duodenal motor responses increased when infants were fed by slow infusion and decreased when they were fed by rapid infusion. Infants emptied 12 mL/kg of a 20-mL/kg feeding by 20 min after completion of the feeding given by slow infusion concomitantly with the increase in duodenal motor activity but only 8 mL/kg by 20 min after completion of the bolus feeding, when duodenal motor activity decreased (P < 0.01). Two hours after completion of the feeding, volumes remaining in the stomach after slow infusion were one-ninth those remaining after bolus feeding. When preterm infants are fed by slow infusion over 120 min, their duodenal motor respo...Continue Reading

Citations

Oct 20, 2001·Pediatric Research·S ZangenP E Hyman
Sep 1, 2005·Journal of Pediatric Gastroenterology and Nutrition·Sudarshan R Jadcherla, Carol Lynn Berseth
Jan 22, 2011·Journal of Perinatology : Official Journal of the California Perinatal Association·S B DeMauroS Lorch
Jun 7, 2012·Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses·Heather E Elser
Sep 28, 2018·JPEN. Journal of Parenteral and Enteral Nutrition·Silvia MartiniLuigi Corvaglia
Jul 29, 2015·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Enid E MartinezNilesh M Mehta
Nov 26, 2015·Journal of Pediatric Gastroenterology and Nutrition·Lyanne W W Rövekamp-AbelsJessie M Hulst
Dec 20, 2019·Neurogastroenterology and Motility : the Official Journal of the European Gastrointestinal Motility Society·Katja KovacicMiguel Saps
Jan 8, 2003·Neonatal Network : NN·Diane M Anderson
Oct 11, 2005·Acta Paediatrica. Supplement·Josef Neu, Liyan Zhang
Oct 7, 2006·Current Opinion in Gastroenterology·O Louis-Jacques, J A Perman
Nov 6, 2008·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Sule YigitEkhard E Ziegler
Jan 13, 2015·Nutrients·Sourabh DuttaChristoph Fusch
Oct 7, 2006·Current Opinion in Gastroenterology·E M Quigley
May 23, 2008·The Clinical Journal of Pain·Ann DsilnaLars Alfredsson
Dec 19, 2020·Journal of Neonatal-perinatal Medicine·M L ReppucciB A Coakley
Feb 18, 2004·Journal de gynécologie, obstétrique et biologie de la reproduction·R LenclenB Michaud

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