Alteraciones polisomnográficas en lactantes con reflujo gastroesofágico

Infant apnea is a common problem that conveys significant burden to families and physicians. Its temporal relationship with gastroesophageal reflux (GER) is controversial. Aim: To establish whether infants with GER of different magnitude have a higher incidence of respiratory events than children wi...

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Autores principales:	Harris D,Paul, Brockmann V,Pablo, Muñoz O,Carla, Mobarec K,Sebastián, Mesa L,Tomás, Sánchez D,Ignacio
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2003
Materias:	Gastroesophageal reflux Polysomnography Sleep disorders
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003001000007
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spelling	oai:scielo:S0034-988720030010000072004-12-07Alteraciones polisomnográficas en lactantes con reflujo gastroesofágicoHarris D,PaulBrockmann V,PabloMuñoz O,CarlaMobarec K,SebastiánMesa L,TomásSánchez D,Ignacio Gastroesophageal reflux Polysomnography Sleep disorders Infant apnea is a common problem that conveys significant burden to families and physicians. Its temporal relationship with gastroesophageal reflux (GER) is controversial. Aim: To establish whether infants with GER of different magnitude have a higher incidence of respiratory events than children without GER. Patients and Methods: 146 consecutive patients were evaluated with polisomnography (PSG) and with an esophageal pH probe. Those infants without GER episodes or with an esophageal pH below 4.0 in less than 5% of total sleep time were considered as physiologic GER (Group I), between 5-10% as mild GER (Group II), and over 10% as severe GER (Group III). These groups were evaluated for demographic and polysomnographic characteristics. Results: There were no differences in the demographic and global PSG characteristics neither in oxymetry, heart rate or electroencephalographic abnormalities. Group III infants had a higher percentage of active sleep compared to infants of Group I (p <0.05) and higher incidence of central pauses and apneas compared to infants of Group I (p <0.05). Conclusions: The presence of severe GER may modify the sleep pattern in infants, increasing the percentage of active sleep. The presence of central pauses and apneas in infants with severe GER suggest an association between the inmaturity of the respiratory centers and the adaptation of the anti-reflux mechanisms (Rev Méd Chile 2003; 131: 1143-50).info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.131 n.10 20032003-10-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003001000007es10.4067/S0034-98872003001000007
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Gastroesophageal reflux Polysomnography Sleep disorders
spellingShingle	Gastroesophageal reflux Polysomnography Sleep disorders Harris D,Paul Brockmann V,Pablo Muñoz O,Carla Mobarec K,Sebastián Mesa L,Tomás Sánchez D,Ignacio Alteraciones polisomnográficas en lactantes con reflujo gastroesofágico
description	Infant apnea is a common problem that conveys significant burden to families and physicians. Its temporal relationship with gastroesophageal reflux (GER) is controversial. Aim: To establish whether infants with GER of different magnitude have a higher incidence of respiratory events than children without GER. Patients and Methods: 146 consecutive patients were evaluated with polisomnography (PSG) and with an esophageal pH probe. Those infants without GER episodes or with an esophageal pH below 4.0 in less than 5% of total sleep time were considered as physiologic GER (Group I), between 5-10% as mild GER (Group II), and over 10% as severe GER (Group III). These groups were evaluated for demographic and polysomnographic characteristics. Results: There were no differences in the demographic and global PSG characteristics neither in oxymetry, heart rate or electroencephalographic abnormalities. Group III infants had a higher percentage of active sleep compared to infants of Group I (p <0.05) and higher incidence of central pauses and apneas compared to infants of Group I (p <0.05). Conclusions: The presence of severe GER may modify the sleep pattern in infants, increasing the percentage of active sleep. The presence of central pauses and apneas in infants with severe GER suggest an association between the inmaturity of the respiratory centers and the adaptation of the anti-reflux mechanisms (Rev Méd Chile 2003; 131: 1143-50).
author	Harris D,Paul Brockmann V,Pablo Muñoz O,Carla Mobarec K,Sebastián Mesa L,Tomás Sánchez D,Ignacio
author_facet	Harris D,Paul Brockmann V,Pablo Muñoz O,Carla Mobarec K,Sebastián Mesa L,Tomás Sánchez D,Ignacio
author_sort	Harris D,Paul
title	Alteraciones polisomnográficas en lactantes con reflujo gastroesofágico
title_short	Alteraciones polisomnográficas en lactantes con reflujo gastroesofágico
title_full	Alteraciones polisomnográficas en lactantes con reflujo gastroesofágico
title_fullStr	Alteraciones polisomnográficas en lactantes con reflujo gastroesofágico
title_full_unstemmed	Alteraciones polisomnográficas en lactantes con reflujo gastroesofágico
title_sort	alteraciones polisomnográficas en lactantes con reflujo gastroesofágico
publisher	Sociedad Médica de Santiago
publishDate	2003
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003001000007
work_keys_str_mv	AT harrisdpaul alteracionespolisomnograficasenlactantesconreflujogastroesofagico AT brockmannvpablo alteracionespolisomnograficasenlactantesconreflujogastroesofagico AT munozocarla alteracionespolisomnograficasenlactantesconreflujogastroesofagico AT mobarecksebastian alteracionespolisomnograficasenlactantesconreflujogastroesofagico AT mesaltomas alteracionespolisomnograficasenlactantesconreflujogastroesofagico AT sanchezdignacio alteracionespolisomnograficasenlactantesconreflujogastroesofagico
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Alteraciones polisomnográficas en lactantes con reflujo gastroesofágico

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