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An interesting cause of neonatal feed intolerance
  1. David Sinton1,2,
  2. Pamela Dawson1,
  3. Thillagavathie Pillay2,3
  1. 1School of Paediatrics, West Midlands Deanery, West Midlands, UK
  2. 2Neonatal Department, Russells Hall Hospital, Dudley, West Midlands, UK
  3. 3Neonatal Department, New Cross Hospital, Wolverhampton, UK
  1. Correspondence to Dr David Sinton, Department of Child Health, Russells Hall Hospital, Dudley, West Midlands DY1 2HQ, UK; davidsinton{at}

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Growth restricted twins were born at 29+2 weeks gestation. They were managed with empirical antibiotics, surfactant therapy and respiratory support. Both received total parenteral nutrition (TPN) until fully enterally fed.

By day 5 of life, they were …

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