RESUMO
The nervous system of very low birth weight infants is particularly sensitive to malnutrition.The growth and neural development of very low birth weight infants will be limited by various nutritional deficiencies.Early enteral nutrition is beneficial for the growth and neural development of very low birth weight infants.However,there is still a controversy about the timing of starting enteral nutrition,the amount of milk to be fed,the rate of adding milk and whether strengthening breast milk or adding probiotics.This article reviews the problems and controversy of enteral nutrition in very low birth weight infants.
RESUMO
Feeding intolerance in preterm infants,which is an important issue that the neonatal pediatri-cians have to work out,leads to malnutrition of early preterm infants and growth restriction which have an impact on later behavioral and cognitive outcomes. Feeding intolerance is related to the immature of gastrointestinal function,perinatal asphyxia,infection and other diseases. Minimal enteral feeding,prokinetic agents and supple-mentation of the enteral probiotics,are used generally,but at present there is no guidelines for the prevention and treatment.