Treatment of gastrointestinal conditions in premature babiesTTreatment of gastrointestinal conditions in premature babiesTreatment of gastrointestinal conditions in premature babiesEnglishNeonatology;GastrointestinalPremature;Newborn (0-28 days);Baby (1-12 months)Esophagus;Stomach;Small Intestine;Large Intestine/ColonDigestive systemDrug treatment;Non-drug treatmentPrenatal Adult (19+)NA2009-10-31T04:00:00ZChris Tomlinson, MBChB, BSc12.000000000000043.0000000000000176.000000000000Flat ContentHealth A-Z<p>Learn about gastroesophageal reflux (GER), which is a malfunction of the valve that seals the stomach. Positioning the baby on their tummy or side may help.</p><p>Some gastrointestinal conditions will require special treatment. The severity of the condition, as well as the level of prematurity of the baby will affect the way your baby is treated.</p><h2>Key points</h2> <ul><li>Gastrointestinal conditions such as gastroesophageal reflux, necrotizing enterocolitis and congenital malformations of the GI tract all require special treatment that is dependant upon the severity of the condition.</li></ul>
Traitement de les problèmes du tube digestif dans les bébés prématurésTTraitement de les problèmes du tube digestif dans les bébés prématurésTreatment of gastrointestinal conditions in premature babiesFrenchNeonatology;GastrointestinalPremature;Newborn (0-28 days);Baby (1-12 months)Esophagus;Stomach;Small Intestine;Large Intestine/ColonDigestive systemDrug treatment;Non-drug treatmentPrenatal Adult (19+)NA2009-10-31T04:00:00ZChris Tomlinson, MBChB, BSc12.000000000000043.0000000000000176.000000000000Flat ContentHealth A-Z<p>Renseignez-vous sur le reflux gastro-œsophagien (RGO), qui est un mauvais fonctionnement de la valve qui referme l’estomac. Le fait de mettre le bébé sur le ventre ou sur le côté peut aider.</p><p>Certains troubles du tube digestif nécessitent des traitements particuliers. Le choix du traitement dépendra de l’ âge gestationnel et de la gravité du trouble.</p><h2>À retenir</h2> <ul><li>Les problèmes du tube digestif, tels que le reflux gastro-œsophagien, l’entérocolite nécrosante et les malformations congénitales de l’appareil digestif, requièrent des traitements spéciaux choisis en fonction de la gravité du troubles.</li></ul>

 

 

Treatment of gastrointestinal conditions in premature babies1844.00000000000Treatment of gastrointestinal conditions in premature babiesTreatment of gastrointestinal conditions in premature babiesTEnglishNeonatology;GastrointestinalPremature;Newborn (0-28 days);Baby (1-12 months)Esophagus;Stomach;Small Intestine;Large Intestine/ColonDigestive systemDrug treatment;Non-drug treatmentPrenatal Adult (19+)NA2009-10-31T04:00:00ZChris Tomlinson, MBChB, BSc12.000000000000043.0000000000000176.000000000000Flat ContentHealth A-Z<p>Learn about gastroesophageal reflux (GER), which is a malfunction of the valve that seals the stomach. Positioning the baby on their tummy or side may help.</p><p>Some gastrointestinal conditions will require special treatment. The severity of the condition, as well as the level of prematurity of the baby will affect the way your baby is treated.</p><h2>Key points</h2> <ul><li>Gastrointestinal conditions such as gastroesophageal reflux, necrotizing enterocolitis and congenital malformations of the GI tract all require special treatment that is dependant upon the severity of the condition.</li></ul><h2>Gastroesophageal reflux (GER)</h2> <p>Gastroesophageal reflux, or GER, is a malfunction of the junction that separates the stomach from the esophagus.</p> <p>In the case of premature babies, GER often comes as a result of an underdevelopment of the lower esophagus muscles. Most frequently, GER may cause food to return to the esophagus, which sometimes results in vomiting. Positioning the baby on their tummy or on their side may help. Other ways to help control reflux are to provide more frequent feedings with smaller amounts, or to slightly thicken the food that is given. </p> <p>In more severe cases, GER can lead to breathing problems or may damage the esophagus because the contents of the stomach contain acids. For this reason, anti-acid drugs may also be used. If GER continues, the baby may be given a medication called <a href="/Article?contentid=186&language=English">metoclopramide​</a> which promotes emptying of the stomach contents into the lower GI tract. </p> <p>Investigations into the possibility of a malformation may also be warranted; however, malformations of this type are extremely rare. </p> <h2>Necrotizing enterocolitis (NEC)</h2> <p>Necrotizing enterocolitis (NEC) is a condition in which the tissues of the large or small intestine become inflamed and sometimes die. The affected area can be small or large. NEC can also lead to other complications. As with most complications due to immaturity, the younger the premature baby’s gestational age, the more at risk they are. </p> <p>Generally speaking, NEC is associated with a lack of blood flow to the intestines, an intestinal infection, or undigested milk in the bowels. However, medical researchers have different opinions about what actually causes NEC, and there is no set manner in which it can appear. For this reason, diagnosing NEC can be difficult. Additionally, some of its symptoms, such as vomiting or diarrhea, are similar to signs of other feeding problems due to immaturity, which are often not nearly as serious. To make matters more complex, early symptoms of NEC, such as apnea (where the baby temporarily stops breathing), rapid breathing, body temperature changes, and changes in blood sugar levels are also similar to those of some respiratory and heart problems. </p> <p>When signs of NEC are detected, it is classified under Bell ’s staging system depending on how severe it is. Stage 1 is a suspected case of NEC. Generally speaking, antibiotics will be given, gastrointestinal (GI) feeding will be stopped and the baby will be fed intravenously. Often, three days of antibiotics will be enough to turn things around or to stop the tissue death. If the diagnosis is confirmed, this is considered Stage 2. </p> <p>Depending on how serious the case is, antibiotics and intravenous feeding may go on for up to two weeks. An examination of blood and blood gases and an X-ray will assess whether the condition is persisting, has resolved, or is getting worse. Bell's Stage 3 are cases causing severe illness accompanied by other complications. At this Stage, if symptoms persist, surgery may be considered. </p> <p>NEC occurs in about 5% of all premature babies. However, only about one-third of NEC cases are treated with surgery. If surgery is performed, there are several options available depending on the severity of the case. One of the consequences of NEC is that the belly gets distended, the bowels are inflamed, and stools are not passed properly or at all. One surgical option may be to install a drain in the bowel to clear out stools and other fluids that have built up. This is a strategy generally used for the smallest premature babies and is effective for releasing these fluids as well as decompressing the abdomen which can often improve respiration. Given that the baby will be fed through the blood stream, this drainage strategy may help create conditions in which the bowel can heal. </p> <h2>Congenital malformations of the GI tract</h2> <p>Congenital malformations of the gastrointestinal (GI) tract are extremely rare. There are many different types of malformations that can occur. In all but a few cases, these malformations require surgical intervention. Surgery may happen immediately or may have to wait until a baby is older and stronger. Additionally, some malformations require more than one surgery to repair. Before surgery and for a time afterwards, it is likely the baby will be fed intravenously, giving the bowel time to heal. </p> <p>In more serious Stage 3 cases of NEC, another option, which may be performed at a later time, is the removal of the damaged section of bowel followed by a reattachment of the healthy bowel sections. This may be done in two stages, allowing the ends of the bowel to heal before they are reconnected at a later time. </p> <p>Like all surgical procedures, surgery for NEC has risks - hemorrhage, which is bleeding, and infection being the most common.</p>Treatment of gastrointestinal conditions in premature babies

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