Patterns of postcibal gastroesophageal reflux in symptomatic infants.
Symptomatic infants displayed three patterns of gastroesophageal reflux after drinking apple juice (20 ml/kg or 300 ml/m2 of body surface area). The type I pattern occurred in patients who had continuous postcibal gastroesophageal reflux, large hiatal hernias and frequently required an antireflux operation. A functional motility disorder suggesting delayed gastric emptying appeared to be important in infants with discontinuous reflux (type II pattern). These infants had frequent gastroesophageal reflux for only 2 3/4 hours postcibally, antral-pylorospasm, increased low esophageal sphincter pressures, and a high incidence of pulmonary symptoms and non-specific watery diarrhea. The mixed (type III) pattern of gastroesophageal reflux occurred in a small number of infants and exhibited features of both type I and II patterns.
D002675:Child, Preschool; D003967:Diarrhea / Q000150:complications; D004064:Digestive System / Q000000981:diagnostic imaging; D005260:Female; D005764:Gastroesophageal Reflux / Q000145:classification / Q000150:complications / Q000175:diagnosis*; D005769:Gastrointestinal Motility; D006548:Hernia, Diaphragmatic / Q000150:complications*; D006551:Hernia, Hiatal / Q000150:complications*; D006801:Humans; D006863:Hydrogen-Ion Concentration; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008991:Monitoring, Physiologic; D011312:Pressure; D011859:Radiography; D012140:Respiratory Tract Diseases / Q000150:complications