Related Experiment Video
Updated: May 19, 2026

Breast Milk Enhances Growth of Enteroids: An Ex Vivo Model of Cell Proliferation
Published on: February 15, 2018
Bottle-feeding and the Risk of Pyloric Stenosis
Camilla Krogh1, Robert J Biggar, Thea K Fischer
1Department of Epidemiology Research, Statens Serum Institut, 5 Ørestads Boulevard, DK-2300 Copenhagen S, Denmark. ckr@ssi.dk
Insights
Bottle-feeding significantly increases the risk of pyloric stenosis (PS) in infants. This study highlights the importance of exclusive breastfeeding for infant health and safety.
Area of Science:
- Pediatrics
- Gastroenterology
- Public Health
Background:
- Bottle-feeding is suspected to elevate pyloric stenosis (PS) risk.
- Large-scale population studies are crucial to confirm this association.
- Understanding feeding practices' impact on infant health is vital.
Purpose of the Study:
- To investigate the association between bottle-feeding and the risk of pyloric stenosis (PS).
- To analyze the effect of early-life bottle-feeding exposure within the first four months.
- To control for extensive confounding factors in the analysis.
Main Methods:
- A population-based cohort study utilizing the Danish National Birth Cohort.
- Data on infant feeding practices and PS diagnoses were collected.
- Cox regression models estimated hazard ratios (HRs) for PS risk.
Main Results:
- Bottle-fed infants showed a 4.62-fold increased risk of PS compared to non-bottle-fed infants.
- The elevated risk was consistent across different breastfeeding combinations (exclusive, partial, none).
- Increased PS risk was observed regardless of the timing or duration of bottle-feeding exposure.
Conclusions:
- Bottle-feeding is associated with a substantially higher risk of pyloric stenosis (PS).
- Findings support the recommendation for exclusive breastfeeding in early infancy.
- This research reinforces the protective benefits of breastfeeding against PS.
Objectives:
Bottle-feeding has been suggested to increase the risk of pyloric stenosis (PS). However, large population-based studies are needed. We examined the effect of bottle-feeding during the first 4 months after birth, by using detailed data about the timing of first exposure to bottle-feeding and extensive confounder information.
Methods:
We performed a large population-based cohort study based on the Danish National Birth Cohort, which provided information on infants and feeding practice. Information about surgery for PS was obtained from the Danish National Patient Register. The association between bottle-feeding and the risk of PS was evaluated by hazard ratios (HRs) estimated in a Cox regression model, adjusting for possible confounders.
Results:
Among 70148 singleton infants, 65 infants had surgery for PS, of which 29 were bottle-fed before PS diagnosis. The overall HR of PS for bottle-fed infants compared with not bottle-fed infants was 4.62 (95% confidence interval [CI]: 2.78-7.65). Among bottle-fed infants, risk increases were similar for infants both breast and bottle-fed (HR: 3.36 [95% CI: 1.60-7.03]), formerly breastfed (HR: 5.38 [95% CI: 2.88-10.06]), and never breastfed (HR: 6.32 [95% CI: 2.45-16.26]) (P = .76). The increased risk of PS among bottle-fed infants was observed even after 30 days since first exposure to bottle-feeding and did not vary with age at first exposure to bottle-feeding.
Conclusions:
Bottle-fed infants experienced a 4.6-fold higher risk of PS compared with infants who were not bottle-fed. The result adds to the evidence supporting the advantage of exclusive breastfeeding in the first months after birth.
Related Concept Videos
Pyloric Obstruction
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube through...
Peptic Ulcer Disease V: Surgical Management and Nursing Care
Surgical Interventions for Peptic Ulcer Disease
Enteral Nutrition I: Orogastric and Nasogastric Feeding
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption
Esophageal Strictures-I: Introduction
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...

