Managing Gastroesophageal Reflux Symptoms in the Very Low-Birth-Weight Infant Postdischarge

Abstract

Gastroesophageal reflux and gastroesophageal reflux disease symptoms are common challenges for very low-birth-weight infants (<1500 g). These symptoms frequently result in feeding difficulties and family stress. Management of symptoms across healthcare disciplines may not be based on current evidence, and inconsistency can result in confusion for families and delayed interventions. The feeding relationship between infant and caregivers may be impaired when symptoms are persistent and poorly managed. An algorithm for managing gastroesophageal reflux-like symptoms in very low-birth-weight infants (from hospital discharge to 12 months corrected age) was developed through the formation of a multidisciplinary community of practice and critical appraisal of the literature. A case study demonstrates how the algorithm results in a consistent approach for identifying symptoms, applying appropriate management strategies, and facilitating appropriate timing of medical consultation. Application to managing gastroesophageal reflux symptoms in the neonatal intensive care unit will be briefly addressed.

Predictors of the Performance of Early Antireflux Surgery in Esophageal Atresia

“…The predictors of the performance of fundoplication remain unclear (1). GERD is more severe and frequent in premature infants, and our study confirmed that low birth weight is a predictor of GERD and the performance of antireflux surgery (16,17). Very low birth weight (VLBW; <1500 g) infants were recognized by Spitz in the early 1990s for having a lower survival rate (18,19).…”

Hubungan antara bayi berat lahir rendah dengan kejadian refluks gastroesofagus di puskesmas Kecamatan Malalayang

“…Hal ini sesuai dengan penelitian oleh Cheema et al 5 bahwa BBLR ialah faktor risiko untuk RGE. Sherrow et al 14 juga menyatakan bahwa gejala RGE maupun PRGE umum ditemukan pada riwayat BBLR. Rerata kelompok kasus dan kelompok kontrol dalam penelitian ini sebesar 2575 (SD ± 532,5) gram dan 2778,3 (SD ± 550,3) gram.…”