“…The use of a spring-loaded silo followed by elective repair permits gentle gradual reduction of the viscera and, when compared to early primary repair, the spring-loaded silo was associated with significantly lower airway pressures, early extubation, fewer complications, and decreased length of stay and hospital charges [66]. Sharp et al [67] reported that the age at first enteral feeds was significantly related with the length of hospital stay and duration of total parenteral nutrition. The possible physiological reasons that account for the benefits of early enteral feeding include the presence of substances in the milk (glutamine, arginine, insulin-like growth factors) that are trophic to the gastrointestinal tract, development of gastrointestinal motor activity, or the release of trophic enteric hormones.…”