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Arch Dis Child Fetal Neonatal Ed 2004;89:F280 doi:10.1136/adc.2003.036392
  • LETTER

Thickening milk feeds may cause necrotising enterocolitis

  1. P Clarke,
  2. M J Robinson
  1. Neonatal Intensive Care Unit, Hope Hospital, Salford, UK, M6 8HD; paul.clarke@srht.nhs.uk

      Extremely low birthweight infants have the highest risk of developing necrotising enterocolitis (NEC). We report on two infants who developed fatal NEC while established on enteral feeds. A common antecedent was recent treatment with Carobel.

      An 820 g boy and a 752 g girl, both of 25 weeks gestation, were fully established on enteral feeds with expressed breast milk by day 12 and 18 respectively. Non-specific symptoms were attributed to gastro-oesophageal reflux (GOR), …

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