infants most of the GER episodes are weakly or not acidic (70%) making esophageal injury unlikely. There are wide variations in management of signs, symptoms, and complications associated with gastroesophageal reflux disease (GERD) in the neonatal i. nsive care unit (NICU), with no evidence to support an empiric trial of anti-reflux medications.

Purpose: To provide a structured clinical guideline for the assessment and treatment of GER in premature infants. The guideline was developed with evidence-based principles, multi-disciplinary collaboration, and individualized and family-centered approaches to caring for the neonate. Population: premature infants

2018年7月1日 · Gastroesophageal reflux (GER), generally defined as the passage of gastric contents into the esophagus, is an almost universal phenomenon in preterm infants. It is a common diagnosis in the NICU; however, there is large variation in …

2022年8月1日 · This article aims to explain the physiology of neonatal gastroesophageal reflux, the symptoms commonly attributed to it, and the evidence regarding its diagnosis and treatment in the neonatal intensive care unit (NICU).

Gastroesophageal reflux (GER) and GER disease (GERD) pertaining to infants in the neonatal intensive care unit (NICU) are reviewed, based on research in this specific population. The developmental biology of the gastroesophageal junction, physiology of GER, and pathophysiology of GERD in this settin …

2019年2月1日 · Gastroesophageal reflux (GER) and GER disease (GERD) pertaining to infants in the neonatal intensive care unit (NICU) are reviewed, based on research in this specific population.

Gastroesophageal reflux (GER) is considered physiologic and is a normal process; whereas, when aerodigestive consequences are associated, it is often interpreted as GER disease (GERD). However, the distinction between them remains a challenge in infants in the NICU. Reflux-type of symptoms are heter …

If suspected prematurity related GER/D that significantly impacts growth/feeding progression (including associated ABD events with feeds), may consider trial of an anti-reflux formula (Added Rice Starch infant formula).

Medical or surgical therapy is indicated only for pathological GER. Therapies may improve symptoms, but generally reflux is not entirely eliminated. GER usually self-improves within 6 months of life due to maturation, sitting upright, and intake of more solid foods. Antireflux wedge (elevates head by 30 degrees).

Focuses on GERD diagnosis and management in preterm neonates, prioritizing non-pharmacologic strategies and minimizing unnecessary medication use.