Continuous enteral feeding impairs gallbladder emptying in infants

Jawaheer, G., Shaw, N J and Pierro, A. (2001) Continuous enteral feeding impairs gallbladder emptying in infants. The Journal of Pediatrics, 138 (6). pp. 822-825. ISSN 0022-3476 DOI https://doi.org/10.1067/mpd.2001.114019

Item not available from this archive.

Abstract

Objective: The objective was to test the hypothesis that continuous enteral feeding impairs gallbladder emptying in infants. Study design: A prospective crossover study was performed in 15 infants: (1) bolus enteral feeds were given in phase A, (2) a continuous milk feed was given for 3 days in phase B, and (3) bolus feeds were resumed in phase C. The gallbladder was studied with ultrasonography in phase A, on days 1 and 3 of phase B, and at the start and on days 2 and 4 of phase C. Results: Baseline volume was 116.1 mm3 (range, 48.1 to 374.8 mm3) in phase A and 293.3 mm3 (range, 109.4 to 1134.9 mm3) (P < .001) after 3 days of phase B; it returned to the phase A value after 4 days of phase C. The contraction index was 65.2% (range, 40.6% to 78.2%) in phase A and 1.7% (range, 0% to 8.4%) (P < .001) after 3 days of phase B. It returned to its phase A value immediately after bolus enteral feeds were resumed in phase C. Conclusions: Continuous enteral feeding leads to an enlarged, noncontractile gallbladder in infants. Emptying is observed immediately after bolus feeds are resumed, and volume returns to baseline after 4 days. The mode of feeding has important bearings on the motility of the extrahepatic biliary tree. (J Pediatr 2001;138:822-5)

Item Type: Article
Subjects: R Medicine > R Medicine (General)
R Medicine > RJ Pediatrics
Divisions: Nursing and Midwifery
Date Deposited: 28 Mar 2011 14:26
URI: http://repository.edgehill.ac.uk/id/eprint/2854

Archive staff only

Item control page Item control page