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Gastro-oesophageal reflux in Nigerian newborn infants
Insights
Neonatal gastro-oesophageal reflux, characterized by persistent vomiting, affects infants, especially those small for gestational age (SGA). Most infants responded well to conservative treatment, highlighting the importance of early diagnosis for these newborns.
Area of Science:
- Pediatrics
- Gastroenterology
- Neonatal Care
Background:
- Neonatal gastro-oesophageal reflux is a common condition presenting with persistent vomiting.
- Infants small for gestational age (SGA) are disproportionately affected.
Purpose of the Study:
- To analyze cases of neonatal gastro-oesophageal reflux.
- To evaluate diagnostic methods and treatment outcomes.
Main Methods:
- Retrospective analysis of 14 neonatal cases (1977-1982).
- Utilized plain abdominal/chest radiographs and barium meal examinations.
- Assessed response to conservative management.
Main Results:
- 11 neonates had significant gastro-oesophageal reflux.
- No hiatus hernia, oesophagitis, or oesophageal stricture identified.
- Over 80% of infants responded positively to conservative treatment.
- Two deaths occurred.
Conclusions:
- Persistent vomiting in SGA newborns with normal abdominal radiographs suggests gastro-oesophageal reflux.
- Early diagnosis and conservative management are effective for most cases.
- Further investigation may be warranted if symptoms persist or worsen.
Abstract:
Fourteen cases (7 males and 7 females) of neonatal gastro-oesophageal reflux seen at the University of Benin Teaching Hospital in the period 1977-82 were analysed. They all presented with persistent vomiting from birth; 64% of the infants were small for gestational age (SGA). All infants had plain abdominal and chest radiographs and barium meal examination. Eleven neonates had a major gastro-oesophageal reflux but no case of hiatus hernia, oesophagitis or oesophageal stricture was found. Over 80% of patients responded to conservative treatment. There were two deaths. We recommend that SGA newborns presenting with persistent vomiting in the presence of a normal plain abdominal radiograph should be treated as a case of gastro-oesophageal reflux until proven otherwise.
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