Document Detail


Thickening of infant feedings for therapy of gastroesophageal reflux.
MedLine Citation:
PMID:  3806287     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
To assess the effect of thickening of feedings on gastroesophageal reflux and gastric emptying, 20 infants were examined with technetium scintigraphy and detailed behavioral observation after each of a pair of feedings, one with radiolabeled infant formula alone and the other with radiolabeled formula thickened with dry rice cereal. The thickened and unthickened meals were followed by similar amounts of scintigraphically demonstrated gastroesophageal reflux. However, the number of episodes of emesis (1.2 +/- 0.7 vs 3.9 +/- 0.9 per 90 minutes postprandial), the percent of gastric emptying at 30 minutes (17.8% +/- 2.7% vs 22.4% +/- 2.4%), the time spent crying (11.7 +/- 3.1 minutes vs 17.6 +/- 3.8 minutes per 90 minutes), and the total time spent awake (45.2 +/- 5.9 minutes vs 53.1 +/- 4.9 minutes per 90 minutes) were significantly less after the thickened feedings. Because thickening of infant feedings increases the caloric density, decreases emesis, decreases crying time, and increases sleep time in the postprandial period, it is likely to be beneficial in the treatment of infants with gastroesophageal reflux associated with failure to thrive.
Authors:
S R Orenstein; H L Magill; P Brooks
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Journal of pediatrics     Volume:  110     ISSN:  0022-3476     ISO Abbreviation:  J. Pediatr.     Publication Date:  1987 Feb 
Date Detail:
Created Date:  1987-03-16     Completed Date:  1987-03-16     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0375410     Medline TA:  J Pediatr     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  181-6     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Crying
Gastric Emptying
Gastroesophageal Reflux / diet therapy*,  physiopathology,  radionuclide imaging
Humans
Infant
Infant Food*
Infant, Newborn
Sleep

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


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