Literature review for - Flourish Paediatrics

hours.
The GE rate was determined using a
breath test
The infants were randomly assigned a
different sequence of possible postural
combinations
Impedance tracing was analysed for
liquid, gas, and mixed reflux findings
using established criteria.
Manometry tracings were analysed
for transient lower esophageal
sphincter relaxation (TLESRs).
Quality 0 P P
Results
There was more TLESRs and GER
episodes in the RLP (median
TLESRs= 9.5, median GER= 11.5
episodes/hour) compared to the LLP
(median TLSERs = 5.5, median
GER= 7.0 episodes/hour)
The mean esophageal exposure to acid and
non-acid GER was lower in the prone
position (4.4% and 0.3% respectively) and
left side (7.5% and 0.7% respectively) than
in positions right side (21.4% and 1.2%
respectively) and supine (17.6% and 1.3%)
Recommendations were made on
epidemiology, natural history,
diagnosis and treatment of
eosinophillic esophagitis.
Effect on risk
Clinical
importance
Clinical
relevance
Gastric half emptying time was
significantly faster in the RLP first
protocol compared with the LLP first
protocol (37.0 ± 21.1 vs 61.2 ± 24.8)
A strategy of RLP for the first
postprandial hour with a positional
change to the left thereafter may be
effective in reducing liquid GER in
the late postprandial period
The study indicates placing premature
infants in a prone or left lateral position
during the postprandial period may limit
GOR.
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