Premature
neonates of
very low birth weight (VLBW) whose
treatment required the use of naso-gastric
tube feeding were investigated. 10
infants suspected of having
GERD (
gastroesophageal reflux) received oral
lansoprazole therapy by tube
administration. 9 other
infants formed a
control group. In the treated group a
fasting pH was determined before
treatment and again after 7 days
treatment. The
control group was similarly assessed at an interval of 7 days. Despite
acid reduction, the post-
treatment pH mean of 1.31 would continue to pose a threat to the
esophageal mucosa. The
physiology of neonatal
acid secretion is discussed to explain these findings.