PEDIATRICS Vol. 63 No. 4 April 1979, pp. 647-649
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Lactobezoar Formation Associated With High-Density Caloric Formula

Gilbert Duritz M.D., Ph.D.1 and Charles Oltorf M.D.1

1 Division of Neonatology, Department of Medicine, Children's Hospital Medical Center of Northern California, Oakland

Two cases of lactobezoar formation were seen in premature low-birth-weight infants fed a 24 cal/oz formula fortified with medium-chain triglycerides and glucose polymers given by continuous nasogastric infusion. Medical management included cessation of oral feedings and increased hydration and led to a rapid dissolution of the problem. The use of this preparation in small low-birth-weight infants is not recommended as an initial formula, and it should only be used when oral feedings have been well tolerated in a growing premature infant.

Submitted on December 18, 1978
Accepted on February 6, 1979




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