High Prevalence of Esophageal Acid Exposure in Very Low Birth Weight Infants Presenting or Not Bronchopulmonary Dysplasia: A Prospective Cross-Sectional Study

作者: Aparecida Mezzacappa

DOI: 10.4172/2167-0897.1000127

关键词: OmicsCross-sectional studyBronchopulmonary dysplasiaApneaEsophageal pH monitoringPediatricsRefluxDiseaseMedicineLow birth weight

摘要: Background: A high frequency of treatment for gastroesophageal reflux disease is observed in neonates with Bronchopulmonary Dysplasia (BPD). The association between these illnesses controversial. Objective: To determine the prevalence index ≥ 10%, very low birth weight infants, presenting or not BPD, using esophageal pH monitoring. Methods: prospective cross-sectional study was conducted. Thirty-five newborns BPD and 15 underwent distal monitoring during their stay a university hospital neonatal unit. symptoms studied both groups. Results: 10% did differ groups (65.7%) (93.3%); p=0.075. Symptoms attributable to occurred 91.4% 73.3% group BPD. Antireflux introduced 80% subjects 20% patients who were BPD; (p<0.001). Conclusions:There increased mucosal exposure acid infants BDP. are frequent groups; however, clinical progression complicated by less frequent. Nevertheless, associated higher treatment, indication any therapeutic modality must be cautious, laboratory investigation evaluation may contribute reduction number unnecessary treatment.

参考文章(28)
Avroy A. Fanaroff, Barbara J. Stoll, Linda L. Wright, Waldemar A. Carlo, Richard A. Ehrenkranz, Ann R. Stark, Charles R. Bauer, Edward F. Donovan, Sheldon B. Korones, Abbot R. Laptook, James A. Lemons, William Oh, Lu-Ann Papile, Seetha Shankaran, David K. Stevenson, Jon E. Tyson, W. Kenneth Poole, Trends in neonatal morbidity and mortality for very low birthweight infants American Journal of Obstetrics and Gynecology. ,vol. 196, pp. 1- 7 ,(2007) , 10.1016/J.AJOG.2006.09.014
Juliann M Di Fiore, Marina Arko, Kim Churbock, Anna Maria Hibbs, Richard J Martin, Technical limitations in detection of gastroesophageal reflux in neonates. Journal of Pediatric Gastroenterology and Nutrition. ,vol. 49, pp. 177- 182 ,(2009) , 10.1097/MPG.0B013E318195D7B3
Christopher Slocum, Anna Maria Hibbs, Richard J. Martin, Susan R. Orenstein, Infant apnea and gastroesophageal reflux: A critical review and framework for further investigation Current Gastroenterology Reports. ,vol. 9, pp. 219- 224 ,(2007) , 10.1007/S11894-007-0022-3
Maria Aparecida M. S. Mezzacappa, José Dirceu Ribeiro, Adyléia A. D. C. Toro, Thaís B. Mendes, Risk factors for gastroesophageal reflux disease in very low birth weight infants with bronchopulmonary dysplasia. Jornal De Pediatria. ,vol. 84, pp. 154- 159 ,(2008) , 10.2223/JPED.1764
J.L. Ballard, J.C. Khoury, K. Wedig, L. Wang, B.L. Eilers-Walsman, R. Lipp, New Ballard Score, expanded to include extremely premature infants. The Journal of Pediatrics. ,vol. 119, pp. 417- 423 ,(1991) , 10.1016/S0022-3476(05)82056-6
Eduardo Bancalari, Bronchopulmonary dysplasia: old problem, new presentation. Jornal De Pediatria. ,vol. 82, pp. 2- 3 ,(2006) , 10.2223/JPED.1427
l. corvaglia, e. mariani, a. aceti, m.g. capretti, g. ancora, g. faldella, Combined oesophageal impedance-pH monitoring in preterm newborn: comparison of two options for layout analysis. Neurogastroenterology and Motility. ,vol. 21, pp. 1027- ,(2009) , 10.1111/J.1365-2982.2009.01301.X