2020
DOI: 10.1159/000506481
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Maturation of Esophageal Motility and Esophagogastric Junction in Preterm Infants

Abstract: Background: Preterm infants commonly present with oral feeding problems. The role of maturation of esophageal bolus transport mechanisms herein remains unclear. Objectives: To characterize esophageal motility and function of esophagogastric junction (EGJ) during deglutitive swallowing in healthy preterm infants and to describe maturational changes. Methods: Four consecutive high-resolution manometry studies with impedance studies were performed weekly to investigate esophageal motility and EGJ function. Esopha… Show more

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Cited by 7 publications
(8 citation statements)
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References 32 publications
(48 reference statements)
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“…Commercial HRM catheters of 8‐French size, including a feeding lumen, are available. Thus HRM is technically viable in the paediatric setting, even in premature infants 5–10 . There is an emerging paediatric oesophageal motility literature showing that the spectrum of HRM‐classified motility disorders resembles that described for adults 11–13 .…”
Section: High‐resolution Oesophageal Manometrymentioning
confidence: 99%
See 1 more Smart Citation
“…Commercial HRM catheters of 8‐French size, including a feeding lumen, are available. Thus HRM is technically viable in the paediatric setting, even in premature infants 5–10 . There is an emerging paediatric oesophageal motility literature showing that the spectrum of HRM‐classified motility disorders resembles that described for adults 11–13 .…”
Section: High‐resolution Oesophageal Manometrymentioning
confidence: 99%
“…Thus HRM is technically viable in the paediatric setting, even in premature infants. [5][6][7][8][9][10] There is an emerging paediatric oesophageal motility literature showing that the spectrum of HRMclassified motility disorders resembles that described for adults. [11][12][13] However, there are still major challenges for standardisation to enable reliable and meaningful results for routine clinical use.…”
Section: Considerations Specific To Paediatricsmentioning
confidence: 99%
“…The healthy, preterm infants were studied as part of a parallel research study investigating maturational trends over time in preterm infants. 17,18 The manometric studies at term age in preterm infants and the data collected in the healthy term infants were used as control data for the current study.…”
Section: Control Patientsmentioning
confidence: 99%
“…Contraction in the second segment of the esophagus (proximal portion of smooth muscle esophagus) is present in almost all (pre) term infants, while the first (striated muscle) segment and distal portion of esophagus smooth muscle develop later. However, there are only few data relating to objective esophageal bolus transport parameters during nutritive swallows in preterm infants ( 5 ) and in preterm infants with feeding problems suffering from bronchopulmonary dysplasia (BPD) ( 6 ).…”
Section: Introductionmentioning
confidence: 99%
“…The aim of this prospective study was to gain more knowledge on esophageal function during nutritive swallows in infants with associated medical pathology. Therefore, HRIM data until currently collected in the Leuven NICU, and in part already reported in infants with BPD, EA, and iCDH were pooled and compared with healthy controls ( 5 , 6 , 13 , 14 ).…”
Section: Introductionmentioning
confidence: 99%