24 Hour Esophageal PH Monitoring in Preterm Infants / 대한소아소화기영양학회지
Korean Journal of Pediatric Gastroenterology and Nutrition
;
: 133-141, 2001.
Article
in Korean
| WPRIM
| ID: wpr-191719
ABSTRACT
PURPOSE:
Gastroesophageal reflux (GER) has been found to be the causative factors of apnea, stridor, feeding intolerance, poor weight gain, and sudden infants death syndrome (SIDS) in infants. GER is a well-described in infants and children, but only scant mention of the premature infants with GER can be found in the literature.METHODS:
Esophageal pH was measured during 24 hour in 21 healthy preterm infants, using a silicone microelectrode with an external reference electrode connected to a portable recorder. The mean age of the patients was 29+/-8 days, mean gestational age was 30(+5)+/-2(+0) weeks, mean birth weight was 1,468+/-329 g, mean postconceptional age was 34(+6)+/-1(+4) weeks and mean weight was 1,750+/-329 g. We evaluated the following reflux parameters; number of acid reflux, number of long acid reflux, longest acid reflux minutes, and reflux index.RESULTS:
Pathologic GER was detected in 12 (57%) subjects and most interesting parameters are reflux index and number of episodes with a pH<4 during 24 hour (high correlation with postprandial reflux index). Reflux was not correlated to gestational age, birth weight, age, postconceptional age, weight, sex and medication of the theophylline.CONCLUSION:
Gastroesophageal reflux is common in preterm infants, but it is usually not apparent, even with severe reflux.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Apnea
/
Silicones
/
Theophylline
/
Birth Weight
/
Infant, Premature
/
Weight Gain
/
Gastroesophageal Reflux
/
Respiratory Sounds
/
Gestational Age
/
Electrodes
Limits:
Child
/
Humans
/
Infant
/
Infant, Newborn
Language:
Korean
Journal:
Korean Journal of Pediatric Gastroenterology and Nutrition
Year:
2001
Type:
Article
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