Abstract:
AIM:The benefit of anti-reflux surgery for gastro-oesophageal reflux (GOR) in early infancy is uncertain. The aim of this study was to assess the value of Nissen fundoplication in a group of infants with severe GOR. METHODS:10 infants underwent Nissen fundoplication for gastro-oesophageal reflux following a failure of medical management. All had suffered life-threatening respiratory episodes as a consequence of gastro-oesophageal reflux, and were neonatal intensive care-dependent. Median (range) birth weight was 1.26 kg (0.48-3.8 kg), gestation 30 weeks (25-38 weeks); at surgery, weight was 3.25 kg (2.5-6.1 kg) at a corrected age of 11.5 weeks (term-22) weeks. For each infant, the success of enteral feeding and the level of support required pre- and post-operatively was compared, and where appropriate, the facilitation of palliative feeding was assessed. Median follow-up was 14 (3-36) months. RESULTS:No infant suffered intra-operative morbidity or mortality. One infant died within 1 month of surgery from a collapse unrelated to surgery. Eight of nine surviving infants were discharged from intensive care following extubation and the establishment of enteral feeding. One patient died of severe bronchopulmonary dysplasia 3 months post-surgery. One infant developed a gastrostomy site infection, and two required gastrostomy tube replacement within 6 months of surgery. All were thriving at follow-up. Two infants with a congenital myopathy died as a result of their muscle disease at 9 and 11 months post-operatively. CONCLUSIONS:Nissen fundoplication is a feasible, effective and safe operation in severe gastro-oesophageal reflux unresponsive to medical treatment in term and pre-term infants. It has an additional important role in facilitating safe palliative enteral feeding in infants with a diagnosis incompatible with survival into adulthood.
journal_name
Early Hum Devjournal_title
Early human developmentauthors
Barnes N,Robertson N,Lakhoo Kdoi
10.1016/j.earlhumdev.2003.09.002keywords:
subject
Has Abstractpub_date
2003-12-01 00:00:00pages
71-8issue
1-2eissn
0378-3782issn
1872-6232pii
S0378378203001488journal_volume
75pub_type
杂志文章abstract::The cephalocaudal progression of jaundice was studied in 136 mature, clinically well newborns. The yellow colour of the skin was measured with the transcutaneous bilirubinometer. Significant positive correlation was found between the yellow colour of the skin in four regions and the plasma bilirubin concentration (for...
journal_title:Early human development
pub_type: 杂志文章
doi:10.1016/0378-3782(90)90022-b
更新日期:1990-04-01 00:00:00
abstract:OBJECTIVE:To 1) define predictors of parent presence, any holding, holding in arms, and skin-to-skin care in the NICU and 2) investigate the relationships between parent participation and a) early neurobehavior and b) developmental outcomes at age 4 to 5years among preterm infants. METHODS:Eighty-one preterm infants b...
journal_title:Early human development
pub_type: 杂志文章
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更新日期:2018-02-01 00:00:00
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journal_title:Early human development
pub_type: 杂志文章
doi:10.1016/j.earlhumdev.2018.01.010
更新日期:2019-03-01 00:00:00
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journal_title:Early human development
pub_type: 杂志文章
doi:10.1016/j.earlhumdev.2015.08.015
更新日期:2015-12-01 00:00:00
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journal_title:Early human development
pub_type: 杂志文章
doi:10.1016/j.earlhumdev.2015.03.006
更新日期:2015-05-01 00:00:00
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journal_title:Early human development
pub_type: 杂志文章
doi:10.1016/j.earlhumdev.2018.01.013
更新日期:2018-03-01 00:00:00
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journal_title:Early human development
pub_type: 杂志文章
doi:10.1016/s0378-3782(01)00256-0
更新日期:2002-04-01 00:00:00
abstract::Index and regression methods of selecting babies whose heads are out of proportion to their body weight are examined and compared. The ratios head circumference3/birthweight and head circumference3/birthweightP (where P is a power found by regression methods) are used, and the regression of head circumference 3 on bir...
journal_title:Early human development
pub_type: 杂志文章
doi:10.1016/0378-3782(80)90039-0
更新日期:1980-12-01 00:00:00
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journal_title:Early human development
pub_type: 杂志文章
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更新日期:2020-09-01 00:00:00
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journal_title:Early human development
pub_type: 杂志文章
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更新日期:1977-10-01 00:00:00
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journal_title:Early human development
pub_type: 评论,信件
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更新日期:2011-01-01 00:00:00
abstract::In planning enteral feeding in the preterm infant, decisions need to be made regarding the feeding schedule, choice of milk, and the route of administration. Feeds should be commenced within a week after birth beginning with subnutritional quantities. Preterm human milk from the infant's own mother is the milk of choi...
journal_title:Early human development
pub_type: 杂志文章,评审
doi:10.1016/s0378-3782(99)00047-x
更新日期:1999-12-01 00:00:00
abstract::The world's literature has been scoured to obtain data on 492 examples of the fetal alcohol syndrome (FAS) in the Northern Hemisphere. The seasonally pattern of FAS birth prevalence rates is compared with the seasonality pattern of ethanol intakes to estimate the time-lag between them and hence the timing of ethanol d...
journal_title:Early human development
pub_type: 杂志文章
doi:10.1016/0378-3782(83)90065-8
更新日期:1983-07-01 00:00:00
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journal_title:Early human development
pub_type: 杂志文章
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更新日期:2020-10-01 00:00:00
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journal_title:Early human development
pub_type: 杂志文章
doi:10.1016/j.earlhumdev.2004.04.015
更新日期:2004-09-01 00:00:00
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journal_title:Early human development
pub_type: 杂志文章
doi:10.1016/j.earlhumdev.2009.11.003
更新日期:2010-01-01 00:00:00
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journal_title:Early human development
pub_type: 杂志文章
doi:10.1016/j.earlhumdev.2020.105243
更新日期:2021-01-01 00:00:00
abstract::A multicenter randomised trial was conducted in nine neonatal centers in Japan to re-evaluate the safety and the efficacy of high frequency oscillatory ventilation using the piston type oscillator (Hummingbird) in the treatment of respiratory failure in preterm infants weighing between 750 and 2000 g at birth. A total...
journal_title:Early human development
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
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更新日期:1993-02-01 00:00:00
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journal_title:Early human development
pub_type: 杂志文章
doi:10.1016/j.earlhumdev.2011.03.009
更新日期:2011-06-01 00:00:00
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journal_title:Early human development
pub_type: 杂志文章
doi:10.1016/j.earlhumdev.2003.10.001
更新日期:2004-01-01 00:00:00
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journal_title:Early human development
pub_type: 杂志文章
doi:10.1016/j.earlhumdev.2011.07.015
更新日期:2012-03-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2014-03-01 00:00:00
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journal_title:Early human development
pub_type: 杂志文章
doi:10.1016/0378-3782(94)90039-6
更新日期:1994-02-01 00:00:00
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journal_title:Early human development
pub_type: 杂志文章
doi:10.1016/0378-3782(95)01661-l
更新日期:1995-08-30 00:00:00
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journal_title:Early human development
pub_type: 杂志文章,评审
doi:10.1016/j.earlhumdev.2013.07.015
更新日期:2013-10-01 00:00:00
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journal_title:Early human development
pub_type: 杂志文章
doi:10.1016/j.earlhumdev.2018.02.015
更新日期:2018-03-01 00:00:00
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journal_title:Early human development
pub_type: 杂志文章
doi:10.1016/j.earlhumdev.2018.11.006
更新日期:2019-01-01 00:00:00
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journal_title:Early human development
pub_type: 杂志文章
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更新日期:1983-10-01 00:00:00
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journal_title:Early human development
pub_type: 杂志文章,评审
doi:10.1016/j.earlhumdev.2011.01.013
更新日期:2011-03-01 00:00:00
abstract:BACKGROUND:Infants whose mothers had low serum pregnancy-associated plasma protein-A (PAPP-A) in the first trimester were observed to have intrauterine growth retardation. AIM:Suggesting that PAPP-A plays an important role in the availability and activity of insulin-like growth factors (IGFs), which affect growth, we ...
journal_title:Early human development
pub_type: 杂志文章
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更新日期:2007-07-01 00:00:00