Abstract
Five infants with gastrointestinal disease requiring neonatal surgery and two infants with nonsurgical disorders were nourished successfully using a constant intragastric infusion of an elemental diet. Two additional patients who developed persistent distention and gastric retention on IED had mechan ical obstruction requiring surgery and another died of NEC during treat ment. Use of IED avoided the risks of TPN and was followed by successful introduction of standard feeding techniques. IED provides a valuable alterna tive to TPN in selected infants and newborns. Caution with any enteral feeding method is required in infants at risk for NEC.

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