Incidence of Gastroesophageal Reflux Disease in Children With Cleft Lip and Palate and an Evaluation of Its Impact on Weight Gain.

Annals of Plastic Surgery
Ishani D PremaratneThomas A Imahiyerobo

Abstract

Patients with cleft lip and/or palate have higher rates of failure to thrive (FTT), decreased growth, and more often experience feeding difficulties as compared with the general pediatric population (J Child Health Care. 2014;18:72-83). Although insufficient nursing, excessive air intake, and incorrect feeding methods have been established in the literature, the role of gastroesophageal reflux disease (GERD) as a contributing factor in cleft patients has not been thoroughly examined. Presently, there is a paucity of literature analyzing the incidence and effect of GERD on this unique population. Furthermore, no studies have evaluated the effect of GERD therapy on improvement of weight gain and FTT in cleft patients. The purpose of this retrospective review was to identify the incidence of GERD in the orofacial cleft population and to see if appropriate treatment was effective in improving weight gain. Fifty patients with cleft lip, cleft lip and palate, and isolated cleft palate were identified from a single surgeon's experience at a large academic medical center from 2015 to 2019. The data show that a significantly higher percentage of patients with cleft lip/and or palate have clinical evidence of GERD, which required treatme...Continue Reading

References

Jan 1, 1997·Archives of Disease in Childhood·J LeeC Wright
Aug 1, 1997·Archives of Disease in Childhood·C Azcona, R Stanhope
Aug 22, 2001·British Journal of Plastic Surgery·A N Pandya, J G Boorman
Nov 22, 2007·Journal of Pediatric Gastroenterology and Nutrition·John J BarronJoseph Singer
Mar 2, 2010·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Peter F KoltzJohn A Girotto
Jul 2, 2016·International Journal of Clinical Pediatric Dentistry·Mridula GoswamiUrvashi Bhushan
Aug 2, 2017·International Journal of Molecular Sciences·Anna RybakOsvaldo Borrelli

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Citations

Oct 9, 2020·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Nicholas SiegelJordan P Steinberg

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