PEDIATRICS Vol. 64 No. 4 October 1979, pp. 550
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Letters to the Editor

Richard L. Schreiner MD1

1 Associate Professor of Pediatrics, Section of Neonatal-Perinatal Medicine, Indiana University School of Medicine, Indianapolis, IN 46202

We concur with Babson and Reynolds that the volume of feeding in the first few weeks of life in very low birth weight infants is probably an important factor in the etiology of lactobezoar formation. We would certainly agree with their policy of increasing the volume of enteral feeding very gradually, but we doubt that limiting the total volume to 150 to 160 ml/kg/day until nipple feedings are established will prevent lactobezoar formation since 13 of our 17 cases of infants with lactobezoars in the past three years were receiving less than 160 ml/kg/day.