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April 1977

The Successful Use of Human Breast Milk in a Premature Infant With the Surgical Short Gut Syndrome

Author Affiliations

Endocrine Division Children's Hospital Medical Center 300 Longwood Ave Boston, MA 02115

Am J Dis Child. 1977;131(4):471. doi:10.1001/archpedi.1977.02120170097021

The care and the survival of premature infants has changed dramatically in the past decade. Recent interest in human breast milk as a "more ideal" food has resulted in an increasing usage in well-term babies. There are some data to suggest that breast milk may indeed prevent some problems in the premature infant, such as necrotizing enterocolitis, because of its lower osmolarity when compared to other formulas or because of the antibodies and cellular factors present.1 This case demonstrates the successful use of breast milk, the possible sodium problems related to its use, and the ease of relactation of a mother.

Report of a Case.—A 1,600-gm premature boy was born after a 31-week gestation, and necrotizing enterocolitis developed on the sixth day of life. After surgical repair of the lesion, a gastrostomy and ileostomy were performed; the estimated small bowel remaining was 102 cm.

Over the course of

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