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279952

Outcome of Infant Regurgitation Diagnosed by Rome Ⅳ Criteria

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Last updated: 03 Jan 2025

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Abstract

Background: Infant regurgitation is the most prevalent functional gastrointestinal disorder in infancy. Knowing the benign outcome of such condition helps to decrease the anxiety of parents and unnecessary prescriptions by physicians. Objectives:The aims of the current work were to detect the outcome of infant regurgitation among Egyptian infants diagnosed by Rome Ⅳ criteria and to detect its prevalence among the surveyed population. Patients and Methods:  A prospective cohort study enrolling 280 healthy infants 1-4 months   diagnosed as infant regurgitation according to Rome Ⅳcriteria by fulfilling a questionnaire and undergoing examination. Parents were reassured and educated then both were repeated after 3 months. According to the outcome, infants were divided into symptomatic infants, who were either partially improved or not- improved at all and asymptomatic infants who had stopped regurgitation. Results: The prevalence of regurgitation was 20.3% among the surveyed 1380 infants. On follow up 42.9% of infants became asymptomatic while 49.6% partially improved and only 7.5% didn't improve. Weight was properly gained for all patients except 3 who had failure to thrive, however that was not correlated with the outcome of regurgitation. Proton pump inhibitors were prescribed for 7.7% of cases, however, increasing age was the only predictor of total improvement after 3 months follow up with odds ratio=2.45 and confidence interval (1.57-3.84). Conclusion: Infant regurgitation diagnosed according to Rome Ⅳ criteria seems to be normal behavior in early infancy which resolves by time, just requiring parental, reassurance, and follow up, while no interventions are needed.  

DOI

10.21608/ejhm.2023.279952

Keywords

infants, Regurgitation, Proton pump inhibitors, Gastrointestinal diseases, functional, Gastroesophageal Reflux

Authors

First Name

Yosra M

Last Name

Awad

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Email

yosraawad@med.asu.edu.eg

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Orcid

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First Name

Mostafa

Last Name

EL-Hodhod

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Orcid

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First Name

Marwa

Last Name

El Deeb

MiddleName

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Orcid

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First Name

Nehal

Last Name

Soliman

MiddleName

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First Name

Yasmin AF

Last Name

Aly

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-

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-

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Volume

90

Article Issue

1

Related Issue

38787

Issue Date

2023-01-01

Receive Date

2023-01-11

Publish Date

2023-01-01

Page Start

863

Page End

868

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_279952.html

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https://ejhm.journals.ekb.eg/service?article_code=279952

Order

126

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Outcome of Infant Regurgitation Diagnosed by Rome Ⅳ Criteria

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Article

Created At

22 Jan 2023