Document Detail


Relation of gastric distention to prostaglandin therapy in neonates.
MedLine Citation:
PMID:  9122396     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To evaluate the short-term gastric effects of prostaglandin therapy in neonates. MATERIALS AND METHODS: The authors retrospectively reviewed the radiographs of nine neonates with congenital heart disease who received prostaglandins during the 1st week of life. Eighteen matched control infants (nine healthy neonates and nine infants with noncyanotic congenital heart disease) who did not receive prostaglandins were also evaluated. RESULTS: Within 48 hours of initial prostaglandin therapy, persistent (>3 days) gastric distention was noted in four of nine infants. No infants developed feeding intolerance during the 1st week of life; two of nine infants (both with initial asymptomatic gastric distention) developed feeding intolerance with prolonged prostaglandin therapy. In all cases, gastric distention resolved with cessation of prostaglandins. The radiographs of the control infants were unremarkable (P < .01). CONCLUSION: Persistent, asymptomatic gastric distention can be seen in neonates within 48 hours of initiation of prostaglandin therapy. Intervention is not warranted; this finding resolves with cessation of prostaglandins. Early gastric distention may be predictive of feeding intolerance in infants who receive prolonged prostaglandin therapy.
Authors:
V M Kriss; N S Desai
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Radiology     Volume:  203     ISSN:  0033-8419     ISO Abbreviation:  Radiology     Publication Date:  1997 Apr 
Date Detail:
Created Date:  1997-04-22     Completed Date:  1997-04-22     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0401260     Medline TA:  Radiology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  219-21     Citation Subset:  AIM; IM    
Affiliation:
Department of Diagnostic Radiology, University of Kentucky, Lexington 40536-0084, USA.
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MeSH Terms
Descriptor/Qualifier:
Alprostadil / adverse effects*,  therapeutic use
Heart Defects, Congenital / drug therapy
Humans
Infant, Newborn
Retrospective Studies
Stomach / drug effects*,  radiography
Chemical
Reg. No./Substance:
745-65-3/Alprostadil

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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