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2020, Number 1

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Acta Med 2020; 18 (1)

Prevalence of gastroesophageal reflux disease in preterm symptomatic neonates at the Hospital Español de México

Blancas OMH, Martínez CR, Ángeles LAR, Duck HE, Baig TL, Moguel HA, Suárez MJE, Iglesias LJ, Blanco VCI

Language: Spanish
References: 16
Page: 28-32
PDF size: 187.11 Kb.


ABSTRACT

Introduction: Gastroesophageal Reflux Disease (GERD) is a common problem in preterm newborns. GERD influences growth, length of hospital stays time and the respiratory development. Objective: To identify the frequency of GERD in preterm newborns. Material and methods: We included 58 newborns who underwent 24 hr. esophageal pH-metry from January 2015 to March 2017. Each newborn presented 3 suggestive clinical findings for GERD (frequent vomiting, delayed development and exacerbation of respiratory symptoms). Diagnostic was made by a Boix-Ochoa score ≥ 16.6. Results: Finally, 34.5% of the studies were positives for GERD (n = 20). 67.2% of the patients were male (n = 39) with a mean age of 33.2 ± 2.9. The Boix-Ochoa score was 67.77 ± 65. 85% of the reflux episodes happened in the postprandial period (85%, N = 17/20), 70% in supine position (70%, N = 14/20). Symptomatic index was positive in 38.9% (n = 7) and the symptoms association probability was 55.6% (n = 10). Conclusions: There is association between prematurity and GERD diagnosis. The GERD symptom association probability is more sensitive in preterm newborns.


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