수유 시 심한 산소 포화도 저하를 보이는 만삭아에서 위식도 촬영의 유용성
Clinical Usefulness of Esophagopraphy in Term Infant with Oxygen Desaturation during and Feeding
유효정, 박은혜, 조기영, 김지영,
소속 상세정보
유효정 ( Yu Hyo-Jung )
이화여자대학교 의과대학 소아과학교실
박은혜 ( Park Eun-Ae )
이화여자대학교 의과대학 소아과학교실
조기영 ( Cho Ky-Young )
이화여자대학교 의과대학 소아과학교실
김지영 ( Kim Ji-Young )
이화여자대학교 의과대학 소아과학교실
KMID : 0438520060130020209
Abstract
Purpose: Transient desaturation in fullterms related to feeding may be ignored. But those who are presenting significant cyanosis during feeding without any underlying disease, esophagogastric or laryngopharyngeal reflux must be regarded. The goal of this study was to investigate the incidence of reflux diseases in those newborns using esophagography.
Methods: 157 newborn infants showing cyanosis during feeding were collected among 705 neonates born after 37 weeks of festation from July 2003 to June 2005. Excluding infants with other underlying diseases, 40 newborns were studied for reflux diseases by esophagography.
Results: 117 (74.5%) infants had underlying diseases among 157 presenting cyanosis. The other 40 (25.5%) cases had decrease in oxygen saturation during and after feeding, which were spontaneously restored after ceasation of feeding. The mean gestational age and weight of the 40 newborns (composed of 21 boys and 19 girls) were 38.9+/-1.42 wks and 3.3+/-0.59 kg. Imaging study was done at 9.5th day of life in average. The level of desaturation was 79.4+/-9.1%. From 31 (77.5%) patient who showed reflux in esophagograhy, 21 patients had laryngopharyngeal reflux, 16 cases showed major degree GERD, 8 of which had GERD minor degree. Omeprazole was prescribed to the patients with major degree of GERD and the others were educated only (feeding position & feeding skills) which lead to improvement of symptom.
Conclusion: We concluded that the esophagography is a valuable tool in evaluation of full tern infants with desaturation during feeding.
키워드
Cyanosis;Feeding;Neonate;Gastroesophageal reflux
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