Feeding problems in infants with gastro‐oesophageal reflux disease: A controlled study

Mathisen, Bernice; Worrall, Linda; Masel, J.; Wall, Clare; Shepherd, Ross W.

doi:10.1046/j.1440-1754.1999.t01-1-00334.x

Cited by 122 publications

(97 citation statements)

References 14 publications

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“…12 Infants with GERD have significantly more feeding problems. 15 Heine et al 10 found this symptoms in half of infants (1 to 9 months old) with symptoms suggestive of GERD confirmed by pH-metry. The developing infant's nerve when exposed to acid milieu in the esophagus might cause pain hypersensitivity even in the absence of tissue damage.…”

Section: Discussionmentioning

confidence: 91%

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Natural course of gastroesophageal reflux disease during infancy - six-month follow-up

Hidayati¹,

Firmansyah²,

Tumbelaka³

2007

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Background Very few data have been published about the naturalcourse of gastro-esophageal reflux (GER) symptoms duringinfancy; further, no risk factors of GER disease (GERD) have beenidentified.Objectives To determine the prevalence and natural course ofregurgitation in infancy and factors of gastroesophageal refluxdisease.Methods A cohort of 223 healthy infants who attended IntegratedHealth Services run by local housewife (Posyandu) of Ciputat –suburb of Jakarta – between March and November 2005.Information on subjects’ history of regurgitation and other reflux-related symptoms was obtained by interviewing mother and diaryrecord. Subjects were followed up to age of 1 year irrespective ofthe clinical status.Results At 6 months of age most infants (56.5%) had regurgitation1 to 3 days per week and only 2.7% infants regurgitated daily.Regurgitation 1 to 3 episodes per day was found in 92.8% ofsubjects. The proportion of infants regurgitation decreasedgradually with age; the proportion for the consecutive 6 to 11month was 100%, 65.5%, 33.6%, 14.3%, 3.6% and 1.3%,respectively. At the age of 1 year no infants was found to beregurgitated. Related symptoms included hiccup (58.3%),vomiting (23.3%) and back arching (2.2%). Feeding problemoccurred in 34.1% infants and occurred more likely in infantswho regurgitate daily compared to 4 – 6 day per week (OR 3.5;95%CI 2.2;5.6) and 1 – 3 day per week (OR 1.8; 95%CI 0.6;0.9).Conclusions Regurgitation in infancy disappears spontaneouslywith age. Reflux-related symptoms are hiccup, vomiting and backarching. Feeding problem occurs most likely in infants whoregurgitate daily.

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Section: Discussionmentioning

confidence: 91%

“…Furthermore, they had greater feelings of anger and frustration and feel less enjoyable. 15 This study intended to investigate the predictor of GERD in regurgitated infants. Chi-square analysis revealed that frequency of regurgitation per week was the only factor differed significantly between infants with and without feeding problems.…”

Section: Discussionmentioning

confidence: 99%

Natural course of gastroesophageal reflux disease during infancy - six-month follow-up

Hidayati¹,

Firmansyah²,

Tumbelaka³

2007

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“…Authors have conducted videofluoroscopy in 11 children with GERD, and observed predominance of alterations in oral preparatory and oral phases, especially with solid food. They also verified silent aspiration in 18.2% of the children, and delay in esophageal transit in 36.4% (27) . GER associated to aspiration can increase the incidence of respiratory infections.…”

Section: Introductionmentioning

confidence: 79%

Achados fluoroscópicos da deglutição: comparação entre recém-nascidos pré-termo e recém-nascidos de termo

Silva-Munhoz

Bühler

2011

J. Soc. Bras. Fonoaudiol.

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OBJETIVO: Descrever os achados fluoroscópicos da deglutição de recém-nascidos pré-termo de zero a seis meses de idade, assim como as doenças e os sinais e sintomas clínicos relacionados à alteração na deglutição, e compará-los com os respectivos dados obtidos de recém-nascidos de termo. MÉTODOS: Foram analisados, retrospectivamente, os dados das avaliações fluoroscópicas realizadas no período de um ano em lactentes de zero a seis meses de idade e aos respectivos prontuários. Participaram 40 sujeitos, divididos em dois grupos: Grupo Pré-Termo, constituído de 23 recém-nascidos pré-termo; e Grupo de Termo, constituído por 17 recém-nascidos de termo. RESULTADOS: Os principais achados fluoroscópicos da deglutição observados em ambos os grupos foram refluxo para a nasofaringe e refluxo gastresofágico. Não houve diferença entre os grupos para a presença de alteração na deglutição . O Grupo Pré-Termo apresentou mais problemas cardíacos do que o Grupo de Termo. Não houve diferença entre os grupos para problemas neurológicos e respiratórios. Em relação aos sinais e sintomas clínicos sugestivos de alteração na deglutição, o Grupo Pré-Termo apresentou mais dessaturação de oxigênio e o Grupo de Termo mais vômitos. CONCLUSÃO: Os principais achados fluoroscópicos da deglutição encontrados em recém-nascidos pré-termo de zero a seis meses de idade foram refluxo para a nasofaringe e refluxo gastresofágico. Novos estudos de seguimento desta população devem ser realizados para confirmar a hipótese de que as alterações na deglutição observadas ocorreram devido à imaturidade na função de deglutição.

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“…8 Research has indicated that 42% of infants with GER have been found to have a milk protein allergy. 9 Those infants who failed to respond to antireflux medications have been found to react favorably to the removal of cow's milk protein, often with complete resolution of their symptoms. 10 Some infants respond well to an extensively hydrolyzed formula (EHF); however, many infants require an amino acid formula before they experience relief.…”

Section: Clinical Research Reportmentioning

confidence: 99%

Efficacy of Feeding Team Recommendations for Infants/Children Presenting With Signs of Milk Allergy

Baunach

Malpass

Malik

et al. 2011

ICAN: Infant, Child, & Adolescent Nutrition

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Feeding problems in infants with gastro‐oesophageal reflux disease: A controlled study

Cited by 122 publications

References 14 publications

Natural course of gastroesophageal reflux disease during infancy - six-month follow-up

Natural course of gastroesophageal reflux disease during infancy - six-month follow-up

Achados fluoroscópicos da deglutição: comparação entre recém-nascidos pré-termo e recém-nascidos de termo

Efficacy of Feeding Team Recommendations for Infants/Children Presenting With Signs of Milk Allergy

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