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Tuesday, October 13, 2020 | History

2 edition of Gastric emptying and gastro-oesophageal reflux in preterm infants found in the catalog.

Gastric emptying and gastro-oesophageal reflux in preterm infants

Andrew Keith Ewer

Gastric emptying and gastro-oesophageal reflux in preterm infants

by Andrew Keith Ewer

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  • 20 Currently reading

Published by University of Birmingham in Birmingham .
Written in English


Edition Notes

Thesis (M.D.) - University of Birmingham, Institute of Child Health, School of Medicine, Faculty of Medicine.

Statementby Andrew Keith Ewer.
ID Numbers
Open LibraryOL18092331M

If a naso-gastric tube passes the cardia, impedance shows an increase in postprandial reflux (from 72 to episodes) in preterm infants Del Buono confirmed these findings in neurologically impaired children: more than half of the reflux events are nonacidic and would therefore go undetected by conventional pH metry The number of reflux. hageal reflux disease (GERD) in infants and children and is intended to be applied in daily practice and as a basis for clinical trials. Eight clinical questions addressing diagnostic, therapeutic and prognostic topics were formulated. A systematic literature search was performed from October 1, (if the question was addressed by guidelines) or from inception to June 1, using.

This book provides a comprehensive overview of Gastroesophageal reflux (GER) in children, discussing its epidemiology, pathophysiology diagnosis and treatments. Readers will discover diverse perspectives of the contributing authors and extensive discussions of issues including GER in special patient populations and current approaches to GER. GASTRO-OESOPHAGEAL R E F L U X A N D A P P A R E N T L I F E THREATENING EVENTS Our interest in gastro-oesophageal reflux (GOR) stemmed from several earlier case reports which suggested that GOR may be linked to SIDS in some infants (Leape et al. ) and to apparent life-threatening events (ALTE) in others (Herbst et al. ; Spitzer et al.

preterm babies include respiratory distress syndrome, feed intolerance, gastro- oesophageal reflux, hypothermia and poor glucose control. PJ_ updated pdf Read/Download File Report Abuse. Effects of feeding and social factors on diarrhoea and vomiting in infants. Eaton-Evans and Dugdale Gastric emptying with gastro-oesophageal reflux. Di Lorenzo, Piepsz, Ham, et al Cisapride for gastro-oesophageal reflux and peptic oesophagitis. Cucchiara, Staiano, Capozzi, et al Controlled study of exclusion of dietary vasoactive.


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Gastric emptying and gastro-oesophageal reflux in preterm infants by Andrew Keith Ewer Download PDF EPUB FB2

Gastro-oesophageal reflux is common in preterm infants, but the role of gastric emptying as a causal factor has not been studied before. Gastric emptying was therefore measured in 19 healthy. AIM—To examine the effect of body position on clinically significant gastro-oesophageal reflux (GOR) in preterm infants.

METHODS—Eighteen preterm infants with clinically significant GOR were studied prospectively using 24 hour lower oesophageal pH s were nursed in three positions (prone, left, and right lateral) for 8 hours in each position, with the order randomly by:   INTRODUCTION.

Gastro-esophageal reflux has been frequently linked to several acute and chronic respiratory diseases in infants[].As ultrasonography may allow direct visualization of gastro-esophageal junction and of retrograde reflux episodes[5,6], it has been used as an alternative to invasive techniques in pediatric age[].Validation studies reported high sensitivity and specificity for Cited by:   AIM To examine the effect of body position on clinically significant gastro-oesophageal reflux (GOR) in preterm infants.

METHODS Eighteen preterm infants with clinically significant GOR were studied prospectively using 24 hour lower oesophageal pH monitoring. Infants were nursed in three positions (prone, left, and right lateral) for 8 hours in each position, with the order randomly by: Does delayed gastric emptying predispose to gastrooesophageal reflux in preterm infants.

Article (PDF Available) in Journal of Pediatric Gastroenterology and Nutrition 19(3) October. Abstract.

Role of the Stomach in the Antireflux Barrier and Gastroesophageal Reflux Pathogenesis The gastroesophageal antireflux barrier in humans depends on the interaction of three components: a valvular mechanism, the lower esophageal sphincter (LES); a propulsive “pump“, the esophagus; and a reservoir, the stomach [12, 38, 39, 50, 95] (Fig.

1).). Although the controversial issues Cited by: 2. Davidson G. The role of lower esophageal sphincter function and dysmotility in gastroesophageal reflux in premature infants and in the first year of life. J Pediatr Gastroenterol Nutr ; 37 Suppl 1:S Ramirez A, Wong WW, Shulman RJ.

Factors regulating gastric emptying in preterm infants. GASTROESOPHAGEAL REFLUX IN THE PRETERM INFANT Donald A. Novak, MD Gastroesophageal reflux (GER) may be defined as "the involuntary passage of gastric contents into the esophagus." This condition is thought to be exceedingly frequent in normal infants, with symptomatic reflux noted to occur in approximately 50% of healthy infants at the age of 2 months Interestingly, Cited by: Objectives: To evaluate the relationship between gastric emptying (GE) time and days to achievement of full enteral feeding (≥ mL/kg/day) in preterm infants randomly assigned to receive one of two marketed study formulas for the first 14 feeding days: intact protein premature formula (IPF) or extensively hydrolyzed protein (EHF) by: 1.

Gastro-oesophageal reflux (GOR) is the regurgitation of gastric contents into the oesophagus. It is alleged to be the cause of many clinical problems in premature infants, such as failure to thrive, apnoea, desaturation, bradycardia, and stridor.1 2 Twenty four hour oesophageal pH monitoring is currently regarded as the optimal method of diagnosing occult GOR in infants with respiratory by:   Gastro-oesophageal reflux (GOR) is common in preterm and term infants [] and is usually a self-limiting condition [].GOR is generally described as the effortless reflux of gastric contents into the oesophagus and is considered physiologic when the infant thrives and experiences no severe complications [].Symptoms may include sleep interruptions [] frequent spitting up, posseting or Cited by: 4.

Gastroesophageal reflux (GER) is common in preterm infants and usually is a physiologic phenomenon with little clinical consequence.

GER resulting in clinical signs and symptoms is considered pathologic gastroesophageal reflux disease (GERD). Correlation of clinical signs and symptoms with GER has been poor in most by:   There is widespread concern about gastroesophageal reflux (GER) in preterm infants.

This article reviews the evidence for this concern. GER is common in infants, which is related to their large fluid intake (corresponding to 14 L/day in an adult) and supine body position, resulting in the gastroesophageal junction’s being constantly “under water.” pH monitoring, the standard for reflux Cited by:   The primary indication for antireflux surgery in children with gastroesophageal reflux (GER) is failed medical therapy.

Other indications include a history of recurrent aspiration events with or without pneumonia, reactive airway disease, apnea or near-miss sudden infant death syndrome (SIDS), refractory emesis, failure to thrive, esophagitis, esophageal stricture, Barrett esophagus, and.

INTRODUCTION. Gastroesophageal reflux (GER) is very common in premature neonates ().Multiple factors, including immature tone of the lower esophageal sphincter (LES), supine positioning, small stomach capacity, delayed gastric emptying, decreased gastrointestinal motility and the presence of a nasogastric tube, contribute to GER in preterm infants ().

The presenting symptoms of gastroesophageal reflux disease (GERD) in infants and children differ from those seen in adults and vary with age. Anorexia and feeding difficulty correlate with erosive esophagitis on endoscopy and are common presentations in children aged years.

[] Infants may present with frequent regurgitation in addition to feeding difficulties. Ewer AK, Durbin GM, Morgan ME, Booth IW. Gastric emptying and gastro-oesophageal reflux in preterm infants. Arch Dis Child Fetal Neonatal Ed.

Sep; 75 (2):F–F [PMC free article] Pradeaux L, Boggio V, Gouyon JB. Gastro-oesophageal reflux in mechanically ventilated preterm infants. Arch Dis Child. Jul; 66 (7 Spec No)–   Billeaud C, Guillet J, Sandler B.

Gastric emptying in infants with or without gastro-oesophageal reflux according to the type of milk. Eur J Clin Nutr ; Rassin DK, Gaull GE, Räihä NC, Heinonen K. Milk protein quantity and quality in low-birth-weight infants. Effects on tyrosine and phenylalanine in plasma and urine.

Paradoxical impact of body positioning on gastroesophageal reflux and gastric emptying in the premature neonate. J Pediatr. Aug;(2) Orenstein SR, Shalaby TM, Putnam PE. Thickened feedings as a cause of increased coughing when used as therapy for gastroesophageal reflux in infants.

J Pediatr Dec;(6) Orenstein SR. This book provides a comprehensive overview of Gastroesophageal reflux (GER) in children, discussing its epidemiology, pathophysiology diagnosis and treatments. Readers will discover diverse perspectives of the contributing authors and extensive discussions of issues including GER in special patient populations and current approaches to GER diagnosis and first part of the book.

Gastrointestinal function in preterm infants. i) Gastric emptying Using a novel ultrasonic technique Andrew investigated the effect of feed type on gastric emptying rates. While in Melbourne he investigated the effect of breast milk fortifier on gastric emptying.

ii) Gastro-oesophageal reflux.Gastric emptying study: One of the causes of reflux is the slow emptying of the stomach.

To check this, the doctor will mix a radioactive chemical with the baby's milk that allows a special camera to follow its path down the digestive system.Gastro-oesophageal reflux (GOR) is the involuntary retrograde passage of gastric contents into the oesophagus with or without regurgitation.

This is a common physiological, self-limiting condition in healthy infants with a prevalence peaking at 3–4 months of age, occurring more than once a Author: T’ng Chang Kwok, Shalini Ojha, Jon Dorling.