***TASK*** the task is to summarize an input biomedical literature in six sentences 
    ***INPUT*** the input is a biomedical literature 
    ***OUTPUT*** the output is the summary of an input biomedical literature in six sentences 
    ***DOCUMENTATION*** 
    ***EXAMPLES*** 
    Input: Forty three infants under 1400 g were fed by a bolus nasogastric , continuous nasogastric , or transpyloric route . There were more complications with transpyloric feeding and no identifiable benefits in the growth rate , oral energy input , or chosen biochemical indices of nutrition .  Bolus or continuous nasogastric feeds rather than transpyloric are better routine methods in infants of low birth weight We compared nasojejunal with nasogastric tube feeding in 18 healthy low-birth-weight infants from eight to 15 days of age . NJ-fed infants had significantly more stools and excreted significantly more fat and potassium in their stools . Growth and weight gain did not differ between the groups during the study period . Future use of NJ feeding in LBW infants should take into account the possibility of malabsorption associated with this technique There were 53 appropriate for gestational age infants with a birth weight of less than 1,700 gm admitted to the Children 's Hospital in Denver who were r and omly assigned to two groups for gavage or transpyloric ( nasojejunal ) feedings . The two groups were not significantly different in terms of gestational age , birth weight , and morbidity . No significant differences were observed for caloric intake after 4 days of age , growth parameters ( weight , length , and head circumference ) , serum total protein levels , feeding-related complications , duration of intravenous fluid supplementation , and length of hospitalization . The results indicate that intermittent gastric gavage feedings are as efficacious as transpyloric feedings in supplying nutrition to the low birth-weight infant . Because of inherently greater risks , costs , radiation , and requisite personnel expertise , transpyloric feedings can not be recommended as a routine method of feeding for the low birth-weight infant One hundred successive infants weighing less than 1500 g at birth were allocated alternately to intermittent nasogastric or continuous nasoduodenal feeding regimens .  Eighty were appropriate for gestational age , and of these 25 fed successfully by nasogastric tube and 16 tolerated nasoduodenal feeding until 1600 g. No significant differences in either calorie intake or growth rates were identified throughout the seven weeks of the study . Because of the increased complexity and radiological exposure involved with feeding transpylorically , nasogastric feeding may be preferred as a method of feeding the low birthweight infant Continuous nasojejunal and intermittent nasogastric feedings were compared in a controlled prospect i ve study in 21 low-birth-weight infants . The groups were comparable in regard to period of gestation , birth weight , head circumference , and clinical findings . Cumulative weight gain , caloric and fluid intake , percent weight lost , blood chemistry values , and complications were used in evaluating the two groups . Upon completion of the 21-day study , N/J infants were found to have had statistically better weight gain , caloric intake , and fluid intake ( p = 0.05 - 0.001 ) during the early part of the study . Weight loss was less in the N/J group ( p less than 0.01 ) . Neither group had abnormalities of blood chemistry or significant complications . It is concluded that N/J feeding in the low-birth-weight neonate is a safe , effective means of early nutritional intake , with advantages most pronounced during the first two weeks of life 
    Output:
    
The included trials did not detect any statistically significant effects on feeding tolerance or in-hospital growth rates .
However , the trial that contributed most weight to these findings was likely to have been affected by selective allocation of the less mature and sicker infants to transpyloric feeding .
We did not find any statistically significant differences in the incidence of other adverse events , including necrotising enterocolitis , intestinal perforation , and aspiration pneumonia .
AUTHORS ' CONCLUSIONS The available data do not provide evidence of any beneficial effect of transpyloric feeding for preterm infants .