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June 1968

Gastrostomy in the Premature and Newborn Infant

Author Affiliations

Palo Alto, Calif
From the departments of surgery and pediatrics, Stanford University School of Medicine, Palo Alto, Calif.

Arch Surg. 1968;96(6):933-935. doi:10.1001/archsurg.1968.01330240079018

GASTROSTOMY has long been utilized as a supportive measure in the treatment of the feeble premature infant as well as the seriously ill infant. The indications for gastrostomy and the technical procedure as followed in this clinic are similar to those recommended by T. Holder and R. Gross.1 In our clinic these are, first, the very small infant who has repeated apneic periods and who requires frequent episodes of resusicitation by bag and mask. Infants tend to have stomachs full of air with increased incidence of regurgitation and aspiration. The second is the ill infant with respiratory insufficiency who has to be artificially ventilated on the respirator. These infants have no epiglottic protection and may aspirate. The gastrostomy tube is usually placed 12 to 36 hours after the infant has been on the respirator. This makes it easier to feed the infant and also acts as an escape valve

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