The editor of Pediatrics kindly responded to my previous letter which questioned the safety of gastrostomy for facilitating the feeding of "low intake" premature infants without surgical disease. We agree with his judgment that the use of general premature mortality statistics may not be appropriate for a "select" group of "low intake" premature infants but hasten to add that the higher mortality rate of the gastrostomized premature infants may have been related to the surgical procedure.

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