Download Gastroenterology and nutrition: neonatology questions and by Josef Neu MD PDF

By Josef Neu MD

Gastroenterology and nutrients, a quantity in Dr. Polin's Neonatology: Questions and Controversies sequence, deals specialist authority at the hardest neonatal gastroenterologic and dietary demanding situations you face on your perform. This clinical reference ebook can help you supply higher evidence-based care and enhance sufferer results with learn at the most recent advances. reassess the way you deal with tricky practice Read more...

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The prevalence of regurgitation perceived as a problem peaked at 23% at 6 months but was down to 14% by 7 months. Most of these children did not receive treatment for GERD from their pediatrician, suggesting that a diagnosis of GERD was only made in a minority of these patients. 39 At this time, none of the parents described regurgitation as a current problem, and only one child experienced spitting at least daily. That child had not experienced frequent regurgitation at 6 to 12 months of age. Infants who had frequent spitting at 6 to 12 months of age did not experience more infections of the ear, sinuses, or upper respiratory tract, nor did they experience more wheezing.

Am J Physiol. 1984;247(6 Pt 1):G688-G694. 90. Itoh Z, Suzuki T, Nakaya M, et al. Gastrointestinal motor-stimulating activity of macrolide antibiotics and analysis of their side effects on the canine gut. Antimicrob Agents Chemother. 1984;26(6): 863-869. 91. Feighner SD, Tan CP, McKee KK, et al. Receptor for motilin identified in the human gastrointestinal system. Science. 1999;284(5423):2184-2188. 92. Ng E, Shah VS. Erythromycin for the prevention and treatment of feeding intolerance in preterm infants.

This sequential enteric reflex pattern results in the phenomenon of peristalsis. The mediators of these enteric reflexes are the excitatory neurons that underlie the 27 28 Basic Science of the Intestinal Tract Sensory neuron activation ϩ ϩ ϩ Excitatory interneuron Motor neuron A ϩ Interneuron Motor neuron Afferent sensory neuron Ϫ ϩ Circular muscle Circular muscle Distention of gut Ascending contraction Descending relaxation ϩ ϩ ϩ Bolus Proximal end Ϫ Ϫ Ϫ Ϫ Ϫ Ϫ Ϫ Ϫ Ϫ Ϫ Ϫ Ϫ Distal end Longitudinal muscle Contraction Figure 3-1 Schematic representation of the afferent and efferent components of the peristaltic reflex, Starling’s law of the intestine.

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