Gastro-oesophageal reflux in Nigerian newborn infants

Tropical and Geographical Medicine
|June 1, 1984
PubMed

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.

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