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An Important Adjunct to the Management of Complex Congenital Heart Disease

Jon A. Vanderhoof, MD; Philip J. Hofschire, MD; Mary A. Baluff, RD; Jean E. Guest, RD; Nancy D. Murray, RN; William W. Pinsky, MD; John D. Kugler, MD; Dean L. Antonson, MD

Am J Dis Child. 1982;136(9):825-827.

Abstract
• Eleven infants with complex congenital heart lesions were given continuous enteral infusions after failure to gain weight adequately despite use of hypercaloric formulas and nutritional supplementation. Formulas used before institution of enteral feedings were continued. Dietary and caloric intake and weight measurements were obtained at weekly or monthly intervals. Both mean daily caloric intake and mean daily weight gain were greater after initiation of continuous enteral feedings. Rate of weight gain improved in all 11 children after institution of enteral feedings. Continuous enteral feeding increases weight gain in babies with complex congenital heart disease, allowing earlier and safer surgical intervention.

(Am J Dis Child 1982;136:825-827)

Author Affiliations
From the Department of Pediatrics, University of Nebraska College of Medicine (Drs Vanderhoof, Hofschire, Pinsky, Kugler, and Antonson, and Mss Baluff, Guest, and Murray), and the Swanson Center for Nutrition (Dr Vanderhoof), Omaha.

Footnotes
Reprint requests to Department of Pediatrics, University of Nebraska Medical Center, 42nd and Dewey Avenue, Omaha, NE 68105 (Dr Vanderhoof).

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