Relationship between sleep/wakefulness and gastroesophageal reflux in symptomatic newborns.

Abstract:

:The state of sleep/wakefulness is well known to influence esophageal acid exposure and the number of acid refluxes whereas it is uncertain whether the same is true of the non-acid refluxes that predominate in the newborns. To investigate the relationship between sleep/wakefulness and refluxes 45 newborns with gastroesophageal reflux symptoms were studied with combined multichannel intraluminal impedance and pH monitoring. We found that sleep/wakefulness influenced acid and weakly acidic reflux frequency (awake 2.6+/-0.8; asleep 2.1+/-1.1; p=0.006). A negative correlation was found between sleepness periods and the mean reflux duration for both acid (R=0.55;p < 0.001) and weackly acidic (R=0.51;p < 0.001) refluxes. This finding may raise some concerns about the over-prescription of antacid drugs in newborns.

authors

Cresi F,Locatelli E,Maggiora E,Di Nicola P,Cester E,Sabatino G,Martano C,Giuliani F,Bertino E

subject

Has Abstract

pub_date

2012-07-01 00:00:00

pages

83-5

issue

3 Suppl

eissn

0393-974X

issn

1724-6083

pii

16

journal_volume

26

pub_type

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