Tag Archives: Gastro-oesophageal reflux

It doesn’t make much difference how often we feed babies

Over the years there have a number of studies comparing two different feeding regimes. Most recently there has been a comparison of 2 hourly vs 3 hourly feeds and a comparison of feeds every 3 hours compared to 4 feeds … Continue reading

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Outcomes of babies with surgical anomalies

Neonatologists basically invented the field of outcomes research; many of my colleagues from around the world have closely examined the outcomes of very premature and extremely premature infants for many years: well before people in other fields were doing so. Outcome … Continue reading

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PPIs are toxic

PPIs could mean “public-private initiatives” which are highly toxic, as recent experience in the UK and in Quebec has shown, but in this case I mean proton pump inhibitors. Stark CM, Nylund CM. Side Effects and Complications of Proton Pump … Continue reading

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Neonatal Updates

Deshmukh M, et al. Effect of gastric lavage on feeding in neonates born through meconium-stained liquor: a systematic review. Archives of Disease in Childhood – Fetal and Neonatal Edition. 2015. When I first went to one of the hospitals I … Continue reading

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Acid suppression doesn’t work, and it’s not safe. pHunny how we got here.

Maybe it’s not pHunny at all. A good quality review article about the use of acid blockade for treating what are sometimes called ‘symptoms of reflux’. Rosen R: Gastroesophageal reflux in infants: More than just a pHenomenon. JAMA Pediatrics 2013. … Continue reading

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GE Reflux… again

Esomeprazole is one of the Proton pump inhibitors that is quite effective at reducing gastric acid production. This RCT of 51 infants (preterms to 1 month of age) randomized babies that had symptoms that were interpreted as being due to … Continue reading

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Spitting Up, it is normal

A new study in Pediatrics asked parents how they would feel about a hypothetical scenario. They gave a history of a patient who is spitting up, possiting, regurgitating or whatever you want to call it, and either gave it  a … Continue reading

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