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Effect of the "Multicare AR-Bed" in 3 weeks to 3-month-old infants on regurgitation, associated symptoms and acid reflux

Journal Contribution - Journal Article

Aim: To evaluate the efficacy of a 408 supine bodyposition on infant regurgitation, reflux-associated symptoms and acid reflux. Methods: 30 consecutive infants presenting with frequent regurgitation and reflux-associated symptoms occurring mainly during feeding were evaluated in the "Multicare AR-Bed" (Peos, Belgium; Web site http:// www.multicare.be/index.html). The Infant Gastroesophageal Reflux Questionnaire-Revised (I-GERQ-R) and an esophageal pH monitoring were performed at inclusion and after one week. Results: Eight (27%) parents stopped the intervention within the first 48 hours because of increasing discomfort of the baby. The data in 22/30 infants (73%) could be evaluated after one week. Prior to inclusion, there had been symptomatic failure of at least one dietary change in all non-breast-fed infants (extensive hydrolysate, ARformula). At least one trial of medication (domperidone, alginate, H2 receptor antagonist, proton pump inhibitor) had failed in 20/30 patients (66%); medication was stopped at least 3 days prior to inclusion. According to the diary kept by the parents, the incidence of regurgitation at baseline (mean 6.56) decreased after one week by more than 50% (mean 2.59) (P
Journal: J Pediatr Gastroenterol Hepatol 2000;31:480-489
ISSN: 0277-2116
Volume: 48
Pages: E1–E149
Publication year:2009
Keywords:infant gastroenterology nutrition society parent m