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[Gastroesophageal reflux and "near miss" sudden infant death syndrome]

A Bendiksen1, L Bender, K Wulff

  • 1Odense Universitetshospital, børneafdeling H.

Ugeskrift for Laeger
|April 28, 1997
PubMed

Insights

Gastro-oesophageal reflux in an infant presenting with symptoms mimicking near-miss sudden infant death syndrome (SIDS) was successfully treated with surgery. This highlights a potential link between reflux and SIDS-like events.

Area of Science:

  • Pediatric Gastroenterology
  • Neonatalogy
  • Clinical Case Studies

Background:

  • Gastro-oesophageal reflux (GOR) is a common condition in infants.
  • Sudden Infant Death Syndrome (SIDS) remains a significant concern in infant mortality.
  • Differentiating between GOR symptoms and SIDS-like events can be challenging.

Observation:

  • A case report details an infant experiencing severe symptoms suggestive of near-miss SIDS.
  • The infant's symptoms closely resembled those associated with SIDS.
  • A family history of SIDS was noted, with two brothers having died from SIDS.

Findings:

  • The infant's presenting symptoms were attributed to severe gastro-oesophageal reflux.
  • Antireflux surgery was performed to address the GOR.
  • Post-surgery, the infant's SIDS-like symptoms completely resolved, indicating a direct correlation.

Implications:

  • This case suggests that gastro-oesophageal reflux may present as or contribute to SIDS-like episodes in infants.
  • Early diagnosis and surgical intervention for GOR could potentially prevent SIDS-related outcomes.
  • Further research into the GOR-SIDS connection is warranted to improve infant safety.

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