Gastric Feeding Versus Transpyloric Feeding in Infants with Severe Bronchopulmonary Dysplasia, a Crossover Study

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age1-1
SponsorLe Bonheur Children's Hospital

About this trial

Hospitalized infants with severe bronchopulmonary dysplasia (BPD) and feeding intolerance will be randomized to 2 weeks of continuous gastric feeding or continuous transpyoloric feeding. Subjects will crossover after 2 weeks and receive 4 weeks of each feeding mode. Respiratory status will be assessed to determine the optimal feeding mode for each infant.

Eligibility criteria

Qualifiers

Patients born <32 weeks' gestation

Currently admitted to the Le Bonheur NICU

Grad 2 or 3 BPD (positive pressure or intubated at 36 weeks PMA)

Signs of gastroesophageal reflux, chronic aspiration, or other feeding intolerance.

Disqualifiers

Known gastrointestinal anomalies

Unable to tolerate ≥100mL/kg/day enteral feeding

Congenital anomalies likely to alter feeding techniques

Surgical feeding tube in place or expected within the next 8 weeks

Trial design

Treatments tested in this trial

  • Gastric feeding
  • Transpyloric feeding

Treatment groups

25 Participants
are divided into 2 treatment groups

Sponsors and collaborators