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Journal of the American College of Nutrition, Vol. 17, No. 4, 308-316 (1998)
Published by the American College of Nutrition

Nutritional Management of Regurgitation in Infants

Yvan Vandenplas, MD, Jere Ziffer Lifshitz, MS, Susan Orenstein, MD, Carlos H. Lifschitz, MD, Ross W. Shepherd, MD, Pablo R. Casaubón, MD, William I. Muinos, MD, Ulysses Fagundes-Neto, MD, José A. Garcia Aranda, MD, Myrna Gentles, MD, José D. Santiago, MD, Jon Vanderhoof, MD, Chap-Yung Yeung, FRCP, FRACP, J. Roberto Moran, MD and Fima Lifshitz, MD, FACN

Vrije Universiteit Brussel (Y.V.), Academisch Ziekenhuis Kinderen, Brussels, BELGIUM
Prime Health Consultants, Inc. (J.Z.L.), Miami, Florida
University of Pittsburgh (S.O.), Children’s Hospital of Pittsburgh, Pennsylvania
Baylor University (C.H.L.), Children’s Nutrition Research Center, Houston, Texas
University of Queensland (R.W.S.), Royal Children’s Hospital, Brisbane, Queensland, AUSTRALIA
Hospital ABC of Mexico (P.R.C.), Mexico City, MEXICO
Miami Children’s Hospital (W.I.M., F.L.), Miami, Florida
Escola Paulista de Medicina (U.F.N.), Departmento de Pediatria-E.P.M., São Paulo, BRAZIL
Instituto Nacional de Salud (J.A.G.A.), Hospital Infantil de Mexico, Mexico City, MEXICO
University of Seville (M.G.), Hospital Virgen Macarena, Seville, SPAIN
Ponce School of Medicine (J.D.S.), Ponce, PUERTO RICO
Ramon Emiterio Betances Hospital, University of Nebraska Medical Center (J.V.), Omaha, Nebraska
University of Hong Kong (C-Y.Y.), Queen Mary Hospital, Hong Kong, CHINA
Mead Johnson Research Center (J.R.M.), Evansville, Indiana

Address reprint requests to: Fima Lifshitz, MD, FACN, Miami Children’s Hospital, 3100 SW 62nd Avenue, Miami, FL 33155

Infantile regurgitation is a frequently occurring problem. Throughout the world, anxious parents are imploring physicians to eliminate their infant’s regurgitation. General practitioners, pediatricians and pediatric gastroenterologists strive to alleviate infantile regurgitation and its related parental stress. In this paper we define the scope of the problem and analyze the optimal, cost-efficient management approach to simple regurgitation in infants. The intent of this paper is to disseminate this information to practicing physicians and other health care professionals in an attempt to minimize the impact of this annoying problem of infancy and to eliminate confusion and expensive diagnostic tests and use of sub-optimal treatment modalities. Parental reassurance and dietary management by feeding thickened formula are important components in managing regurgitation in infants while maintaining optimal nutritional intake for adequate growth and development.

Key words: diagnosis, epidemiology, gastroesophageal reflux, nutritional treatment, pathophysiology, reflux, regurgitation, thickened feedings




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