Gastric Emptying Using Three Different Formulas in Infants with Gastroesophageal Reflux

Tolia, Vasundhara; Lin, Chuan-Hao; Kuhns, Lawrence R.

doi:10.1097/00005176-199210000-00011

Cited by 105 publications

(55 citation statements)

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“…Solids have also been shown to have linear gastric emptying in adults, whereas liquid meals empty exponentially from the stomach (24). It has been speculated that casein empties from the stomach more like solids than liquids, which might result in delayed gastric emptying (19). This speculation is not supported by the findings in our study, where both the casein-and the whey-predominant formulas had similar gastric emptying patterns that fitted an exponential model equally well.…”

Section: Discussioncontrasting

confidence: 94%

“…They found that infants fed casein-predominant formulas had 50% slower gastric emptying than those fed human milk, 34% slower emptying than those fed whey-predominant formula, and 47% slower emptying that those fed whey-hydrolysate formula. Tolia et al (19) found that infants between 1 and 11 mo of age with gastroesophageal reflux who were fed casein-predominant formula had 18% slower gastric emptying than those fed whey hydrolysate formulas. Fried et al (20) demonstrated that 3-to 18-y-old patients with spastic quadriplegia and a history of regurgitation fed whey-based formulas had a 43% shorter gastric emptying time than when they were fed casein-predominant formula.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Similar Gastric Emptying Rates for Casein- and Whey-Predominant Formulas in Preterm Infants

et al. 1994

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Section: Discussioncontrasting

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Similar Gastric Emptying Rates for Casein- and Whey-Predominant Formulas in Preterm Infants

et al. 1994

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“…These formulae are based on the idea that long-chain fatty acids delay gastric emptying and their reduction may result in less reflux due to improved gastric emptying. Controlled studies [117,122,129] do not support their efficacy in improving pH-metric GOR variables (Table 1). Such formulae should in any case fulfil the nutritional needs of the infant.…”

Section: Dietary Advicementioning

confidence: 99%

A critical appraisal of current management practices for infant regurgitation - recommendations of a working party

Vandenplas

Belli²,

Benhamou

et al. 1997

European Journal of Pediatrics

126

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A critical appraisal of current management practices for infant regurgitation: recommendations of a working party Vandenplas, Y.; Belli, D.; Benhamou, P.; Cadramel, S.; Cezard, J.P.; Cucchiara, S.; Dupont, C.; Faure, C.; Gottrand, F.; Hassall, E.; Heymans, H.S.A.; Kneepkens, C.M.F.; Sandhu, B. Published in:European Journal of Pediatrics DOI:10.1007/s004310050613Link to publication Citation for published version (APA):Vandenplas, Y., Belli, D., Benhamou, P., Cadramel, S., Cezard, J. P., Cucchiara, S., ... Sandhu, B. (1997). A critical appraisal of current management practices for infant regurgitation: recommendations of a working party. European Journal of Pediatrics, 156, 343-357. DOI: 10.1007/s004310050613 General rightsIt is not permitted to download or to forward/distribute the text or part of it without the consent of the author(s) and/or copyright holder(s), other than for strictly personal, individual use, unless the work is under an open content license (like Creative Commons). Disclaimer/Complaints regulationsIf you believe that digital publication of certain material infringes any of your rights or (privacy) interests, please let the Library know, stating your reasons. In case of a legitimate complaint, the Library will make the material inaccessible and/or remove it from the website. Abstract Regurgitation is a common manifestation in infants below the age of 1 year and a frequent reason of counselling of general practitioners and paediatricians. Current management starts with postural and dietary measures, followed by antacids and prokinetics. Recent issues such as an increased risk of sudden infant death in the prone sleeping position and persistent occult gastrooesophageal reflux in a subset of infants receiving milk thickeners or thickened ''anti-regurgitation formula'' challenge the established approach. Therefore, the clinical practices for management of infant regurgitation have been critically evaluated with respect to their efficacy, safety and practical implications.

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“…Contrast radiography and scintigraphy have been used to measure gastric volume and emptying in adults and children [4][5][6]. These techniques, however, are not suitable for the fetus as these methods involve exposure to ionizing radiation.…”

Section: Introductionmentioning

confidence: 99%

Ontogeny of gastric emptying patterns in the human fetus

Sase

Miwa

Sumie

et al. 2005

The Journal of Maternal-Fetal & Neonatal Medicine

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Gastric Emptying Using Three Different Formulas in Infants with Gastroesophageal Reflux

Cited by 105 publications

References 0 publications

Similar Gastric Emptying Rates for Casein- and Whey-Predominant Formulas in Preterm Infants

Similar Gastric Emptying Rates for Casein- and Whey-Predominant Formulas in Preterm Infants

A critical appraisal of current management practices for infant regurgitation - recommendations of a working party

Ontogeny of gastric emptying patterns in the human fetus

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