Transpyloric versus gastric tube feeding for preterm infants

An evaluation of enteral feeding practices in critically ill children

“…There is conflicting evidence about the usefulness of post-pyloric feeding and whether it improves feed tolerance and reduces aspiration in critically ill neonates, children and adults (Meert et al 2004;McGuire and McEwan 2007;de Neef et al 2008;McClave et al 2009). Additionally, correct placement of the post-pyloric feeding tube (and ensuring this position consistently) is often problematic and is not a standard practice in our PICU.…”

Transpyloric feeding in gastroesophageal‐reflux–associated apnea in premature infants

“…Half of these babies responded to transpyloric feeding. Transpyloric feeding has been extensively used in newborns for enteral feeding (12). It is less likely to cause gastroesophageal reflux (7).…”

“…Concerns have been expressed about transpyloric‐tube–related complications in newborns (12). However, no perforation with or without complication was reported in this meta‐analysis.…”

Feeding intolerance in very-low-birthweight infants: What is it and what can we do about it?

“…Cisapride is currently not available in the U.S. market because of concerns related to cardiac arrhythmias [22]. Nasojejunal (transpyloric) feeding bypasses the immature gastric emptying, but has not been found to be of significant benefit in terms of improvement in feeding tolerance because intestinal motility is also immature [23].…”