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https://hdl.handle.net/2440/44373
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Type: | Journal article |
Title: | Effect of body position changes on postprandial gastroesophageal reflux and gastric emptying in the healthy premature neonate |
Author: | van Wijk, M. Benninga, M. Dent, J. Lontis, R. Goodchild, L. McCall, L. Haslam, R. Davidson, G. Omari, T. |
Citation: | Journal of Pediatrics, 2007; 151(6):585-590 |
Publisher: | Mosby Inc |
Issue Date: | 2007 |
ISSN: | 0022-3476 1097-6833 |
Statement of Responsibility: | Michiel P. van Wijk, Marc A. Benninga, John Dent, Ros Lontis, Louise Goodchild, Lisa M. McCall, Ross Haslam, Geoffrey P. Davidson, Taher Omari |
Abstract: | <h4>Objective</h4>To identify a body-positioning regimen that promotes gastric emptying (GE) and reduces gastroesophageal reflux (GER) by changing body position 1 hour after feeding.<h4>Study design</h4>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.<h4>Results</h4>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).<h4>Conclusions</h4>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. |
Keywords: | Esophagus Humans Gastroesophageal Reflux Infant, Premature, Diseases Cross-Over Studies Manometry Electric Impedance Gastric Emptying Postprandial Period Posture Hydrogen-Ion Concentration Infant Infant, Newborn Infant, Premature Female Male |
Description: | Copyright © 2007 Mosby, Inc. All rights reserved. |
DOI: | 10.1016/j.jpeds.2007.06.015 |
Published version: | http://dx.doi.org/10.1016/j.jpeds.2007.06.015 |
Appears in Collections: | Aurora harvest 6 Paediatrics publications |
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