PEDIATRICS Vol. 67 No. 1 January 1981, pp. 68-72
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Controlled Study of Transpyloric and Intermittent Gavage Feeding in the Small Preterm Infant

Gilberto R. Pereira MD1 and James A. Lemons MD1

1 Department of Perinatology, Children's Hospital and Division of Perinatology, University of Colorado Medical Center, Denver

There were 53 appropriate for gestational age infants with a birth weight of less than 1,700 gm admitted to the Children's Hospital in Denver who were randomly assigned to two groups for gavage or transpyloric (nasojejunal) feedings. The two groups were not significantly different in terms of gestational age, birth weight, and morbidity. No significant differences were observed for caloric intake after 4 days of age, growth parameters (weight, length, and head circumference), serum total protein levels, feeding-related complications, duration of intravenous fluid supplementation, and length of hospitalization. The results indicate that intermittent gastric gavage feedings are as efficacious as transpyloric feedings in supplying nutrition to the low birth-weight infant. Because of inherently greater risks, costs, radiation, and requisite personnel expertise, transpyloric feedings cannot be recommended as a routine method of feeding for the low birth-weight infant.

Submitted on March 3, 1980
Accepted on July 16, 1980




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 Arch. Dis. Child. Fetal Neonatal Ed.Home page
W McGuire and P McEwan
Systematic review of transpyloric versus gastric tube feeding for preterm infants
Arch. Dis. Child. Fetal Neonatal Ed., May 1, 2004; 89(3): F245 - F248.
[Abstract] [Full Text] [PDF]