PMID: 6411890Jan 1, 1983Paper

Clinical response to short-term nasogastric feeding in infants with gastroesophageal reflux and growth failure

Journal of Pediatric Gastroenterology and Nutrition
G D FerryT J Pietro

Abstract

When conventional treatment with upright positioning and thickened feedings fails to control vomiting associated with gastroesophageal reflux (GER) of infancy, malnutrition and growth failure may result. If this occurs, fundoplication is usually recommended. In this study, 12 infants with growth failure associated with GER were given a trial of short-term (11.1 +/- SE 1.6 days) continuous-drip nasogastric (NG) feedings prior to surgical referral. Five of 10 infants for whom long-term follow-up (3-12 months) was obtained showed immediate weight gain, cessation of vomiting, and long-term resolution of growth failure without the need for surgery. All infants who had a favorable long-term response showed evidence of catch-up growth during the first 7 days of NG feeding. Infants who did not begin catch-up growth during the first 7 days did not benefit from longer periods (up to 21 days) of NG feeding. Poor response to NG feedings was associated with the presence of other medical problems (p = 0.024), including chronic pulmonary disease, malabsorption, cerebral palsy, and laryngomalacia. Four infants who did require fundoplication still showed no improvement in growth 2-6 months after surgery. In infants with GER and growth failure w...Continue Reading

Citations

Nov 1, 1994·Indian Journal of Pediatrics·A G Thomas
May 1, 1987·The Journal of Pediatrics·S S KaufmanJ A Vanderhoof
Jun 18, 1998·Otolaryngologic Clinics of North America·V M Tsou, P R Bishop
Mar 1, 2000·Gastroenterology Clinics of North America·S R OrensteinS Khan
Aug 30, 2001·Journal of Pediatric Gastroenterology and Nutrition·C D RudolphUNKNOWN North American Society for Pediatric Gastroenterology and Nutrition
Sep 28, 2002·Journal of Pediatric Gastroenterology and Nutrition·Erasmo MieleRiccardo Troncone
Sep 1, 1996·Acta Paediatrica·R J McClureS J Newell
Jan 1, 1992·Archives of Disease in Childhood·D M TappinJ Y Paton
Nov 26, 1999·Archives of Disease in Childhood·C WanZ Liu
Sep 4, 2003·Physical & Occupational Therapy in Pediatrics·Erika G GiselGaetan Filion
Nov 18, 2008·Expert Opinion on Investigational Drugs·Barbara A HaberKathleen M Loomes
Feb 1, 1996·Pediatric Clinics of North America·A C Hillemeier
Sep 27, 2000·Baillière's Best Practice & Research. Clinical Gastroenterology·G P Davidson, T I Omari
Jan 1, 1993·Journal of Biosocial Science·N ZohooriM E Fernandez
Jan 1, 1991·Journal of Biosocial Science·B M PopkinC O'Gara
Jan 1, 1996·The Annals of Otology, Rhinology, and Laryngology·N M BaumanR J Smith
Jul 1, 1988·JPEN. Journal of Parenteral and Enteral Nutrition·S BerezinL J Newman
Apr 1, 2015·Journal of Pediatric Gastroenterology and Nutrition·Shahrul Mt-IsaDeborah Ashby
Jun 24, 2011·Journal of Pediatric Gastroenterology and Nutrition·Gul KaracetinBurcin Alsancak Sonmez
Feb 4, 1998·Baillière's Clinical Gastroenterology·P B Sullivan
Aug 31, 2021·Journal of Pediatric Rehabilitation Medicine·Hikari FukatsuTakayoshi Sakai

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