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Journal of Parenteral and Enteral Nutrition
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Review: Is Fetal Enteral Nutrition Important for Normal Gastrointestinal Growth?: A Discussion

Jeffrey F. Trahair, PHD

From the Child Health Research Institute, Adelaide Medical Centre for Women & Children, North Adelaide, Australia

Long-term total parenteral nutrition results in atrophy of small intestinal structure and function. Maintenance or re-establishment of enteral nutrition can prevent or redress this loss. Paradoxically, the fetus develops in a total parenteral nutrition environment, but at the same time must achieve appropriate levels of gastrointestinal maturation in readiness for enteral feeding soon after birth. The fetus swallows large amounts of fluid during life in utero and growth is arrested if fetal ingestion is impaired. It is possible therefore that enteral nutrition provided by fetal swallowing is just as important in ensuring normal gastrointestinal homeostasis and growth in the fetus as it is in the adult. (Journal of Parenteral and Enteral Nutrition 17:82-85, 1993)

Journal of Parenteral and Enteral Nutrition, Vol. 17, No. 1, 82-85 (1993)
DOI: 10.1177/014860719301700182


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J. F. Trahair, T. M. DeBarro, J. S. Robinson, and J. A. Owens
Restriction of Nutrition In Utero Selectively Inhibits Gastrointestinal Growth in Fetal Sheep
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[Abstract] [Full Text]