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Does milk fortification increase the risk of necrotising enterocolitis in preterm infants with congenital heart disease?

Published online by Cambridge University Press:  20 July 2012

Atul Malhotra ,
Alex Veldman  and
Samuel Menahem
Atul Malhotra*
Affiliation:
Monash Newborn, Monash Medical Centre, Melbourne, Australia Department of Paediatrics, Monash University, Melbourne, Australia
Alex Veldman
Affiliation:
Department of Paediatrics, Monash University, Melbourne, Australia The Ritchie Centre, Monash Institute for Medical Research, Monash University, Melbourne, Australia
Samuel Menahem
Affiliation:
Department of Paediatrics, Monash University, Melbourne, Australia MonashHeart, Southern Health, Melbourne, Australia
*
Correspondence to: Dr A. Malhotra, MD, FRACP, Monash Newborn, Monash University, 246 Clayton Road, Clayton, Melbourne, Victoria 3168, Australia. Tel: +61 3 9594 5192; Fax: +61 3 9594 6115; E-mail: atul.malhotra@monash.edu
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Abstract

Prematurity and low birth weight adds to the risk of serious congenital heart disease in infants. It may also delay surgical intervention, especially when cardiopulmonary bypass is required, or where an aortopulmonary shunt is necessary to maintain adequate oxygenation. In this setting, neonatologists are faced with the challenge of accelerating the infant's growth to allow for early surgery. We describe the cases of two infants in whom an attempt to fortify the feeds was associated with necrotising enterocolitis, with a lethal outcome in one. The outcome suggests caution in fortifying feeds in premature infants with serious congenital heart disease.

Keywords

Congenital heart diseasepretermischaemic bowelfeeding
Type
Brief Reports
Information
Cardiology in the Young , Volume 23 , Issue 3 , June 2013 , pp. 450 - 453
Copyright
Copyright © Cambridge University Press 2012 

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