NUR 416 Lecture Notes - Lecture 2: Esophageal Atresia, Cerebral Palsy, Esophagitis
5 Feb 2020
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Document Summary
Gastroesophageal reflux (ger: normal physiologic reflex, relaxation of the lower esophageal sphincter (les) allows passage of gastric materials into esophagus. Gastroesophageal reflux disease (gerd: same physiology, passage of gastric materials into the esophagus producing undesirable symptoms or complications. Down syndrome: global hypotonicity, decreased les tone. At least one episode of reflux per day in 50% of infants 0-3 months. Monday, february 3, 2020: correlates with when children start to sit upright, correlates with when children start to eat solid foods. More common in premature infants & infants with bronchopulmonary dysplasia. Esophageal sx are caused by inflammation from the acid in the gastric refluxate. Respiratory sx result from stimulation of airway reflexes. Sx are rare in infants due to copious amounts of milk buffering acid. Regurgitation/spit up: dribbling down the side of their cheek, usually resolves by 12 months, can persist up to 18-24 months. Poor feeding/poor weight gain: more gerd related than normal reflux.
