Effect of body position changes on postprandial gastroesophageal reflux and gastric emptying in the healthy premature neonate
| Autor: | Ros Lontis, Geoffrey P. Davidson, Michiel P. van Wijk, Marc A. Benninga, Lisa McCall, R Haslam, Taher Omari, Louise Goodchild, John Dent |
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| Přispěvatelé: | Pediatric surgery, Paediatric Gastroenterology, AGEM - Amsterdam Gastroenterology Endocrinology Metabolism |
| Jazyk: | angličtina |
| Rok vydání: | 2007 |
| Předmět: |
Male
medicine.medical_specialty Manometry Posture Infant Premature Diseases Gastroenterology Esophagus Internal medicine Electric Impedance medicine Humans Cross-Over Studies Gastric emptying business.industry Esophageal disease Stomach Infant Newborn Reflux Infant Hydrogen-Ion Concentration Postprandial Period medicine.disease Crossover study medicine.anatomical_structure Postprandial Gastric Emptying Anesthesia Pediatrics Perinatology and Child Health Gastroesophageal Reflux GERD Female business Infant Premature |
| Zdroj: | Journal of Pediatrics, 151(6). Mosby Inc. van Wijk, M P, Benninga, M A, Dent, J, Lontis, R, Goodchild, L, McCall, L M, Haslam, R, Davidson, G P & Omari, T 2007, ' Effect of body position changes on postprandial gastroesophageal reflux and gastric emptying in the healthy premature neonate ', Journal of Pediatrics, vol. 151, no. 6, pp. 585-90, 590.e1-2 . https://doi.org/10.1016/j.jpeds.2007.06.015 Journal of pediatrics, 151(6), 585-590. Mosby Inc. Flinders University PURE |
| ISSN: | 0022-3476 |
| Popis: | OBJECTIVE: To identify a body-positioning regimen that promotes gastric emptying (GE) and reduces gastroesophageal reflux (GER) by changing body position 1 hour after feeding.STUDY DESIGN: Ten healthy preterm infants (7 male; mean postmenstrual age, 36 weeks [range, 33 to 38 weeks]) were monitored with combined esophageal impedance-manometry. Infants were positioned in the left lateral position (LLP) or right lateral position (RLP) and then gavage-fed. After 1 hour, the position was changed to the opposite side. Subsequently, all infants were restudied with the order of positioning reversed.RESULTS: There was more liquid GER in the RLP than in the LLP (median, 9.5 [range, 6.0 to 22.0] vs 2.0 [range, 0.0 to 5.0] episodes/hour; P = .002). In the RLP-first protocol, the number of liquid GER episodes per hour decreased significantly after position change (first postprandial hour [RLP], 5.5 [2.0 to 13.0] vs second postprandial hour [LLP], 0.0 [0.0 to 1.0]; P = .002). GE was faster in the RLP-first protocol than in the LLP-first protocol (37.0 +/- 21.1 vs 61.2 +/- 24.8 minutes; P = .006).CONCLUSIONS: A strategy of right lateral positioning for the first postprandial hour with a position change to the left thereafter promotes GE and reduces liquid GER in the late postprandial period and may prove to be a simple therapeutic approach for infants with GER disease. |
| Databáze: | OpenAIRE |
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