title: Preventative effect of massage on gastric volvulus in infants with gastroesophageal reflux-induced pneumonia.
abstract: OBJECTIVE
  To study the preventative effects of massage on gastric volvulus (GV) in infants with gastroesophageal reflux (GER)-induced pneumonia.
  
  
  METHODS
  One-hundred and eighty GV with GER-induced pneumonia inpatients were divided randomly into four groups: basic treatment 1 (n = 60), basic treatment 2 (n = 30), massage treatment 1 (n = 60) and massage treatment 2 (n = 30). Clinical examinations selected between groups 1 and 2 were different. Radiography of the upper gastrointestinal tract using iodine-containing contrast was assessed in group 1 before and after treatment, whereas 24-h pH monitoring of the distal esophagus was assessed in group 2 before and after treatment. Symptom scores and chest radiography were assessed in all groups upon hospital admission and after procedures. Clinical effects were estimated after procedures in all groups. The prevalence of severe pneumonia among the four groups was compared.
  
  
  RESULTS
  Massage treatment groups showed a significantly higher percentage of cure and total effect (P < 0.05, P < 0.01) and a lower prevalence of recurrence (but with no statistic difference, P > 0.05) than basic treatment groups. Furthermore, massage treatment groups had remarkably lower scores for symptoms and signs (P < 0.05, P < 0.01), especially for choking on milk, than basic treatment groups. There was significant attenuation of chest inflammation (P < 0.05, P < 0.01), GV (P < 0.05, P < 0.01) and GER (P < 0.05, P < 0.01) in massage treatment groups compared with those in basic treatment groups. Finally, massage treatment groups demonstrated a lower prevalence of severe pneumonia than basic treatment groups (P < 0.05).
  
  
  CONCLUSIONS
  Massage treatment can prevent GV with GER-induced pneumonia in infants by timely correction of stomach rotation and subsequent attenuation of GER.
authors.forename: Suqi
authors.initials: S
authors.lastname: Yan
authors.forename: Xiaoli
authors.initials: X
authors.lastname: Xiong
authors.forename: Qi
authors.initials: Q
authors.lastname: Wan
authors.forename: Fan
authors.initials: F
authors.lastname: Liu
authors.forename: Jianqiao
authors.initials: J
authors.lastname: Tang
authors.forename: Zhixia
authors.initials: Z
authors.lastname: Jiang
authors.forename: Lishan
authors.initials: L
authors.lastname: Zhou
authors.forename: Kai
authors.initials: K
authors.lastname: Yuan
authors.forename: Dong
authors.initials: D
authors.lastname: Xie
mesh_terms: D005260:Female; D005764:Gastroesophageal Reflux / Q000150:complications*; D006801:Humans; D007223:Infant; D008297:Male; D008405:Massage; D011014:Pneumonia / Q000150:complications*; D013277:Stomach Volvulus / Q000209:etiology / Q000517:prevention & control*; D016896:Treatment Outcome