tetps t astsfa pads

1
??t?µet?p?s? t?? ?ast????s?fa????? pa???d??µ?s??

• ?a?a??????????-?aµp??d? T?µa?
• ?a?d?at??? Gast?e?te???????
• ?a????t??a ???????? ??at??f??
• S???? ?e???????a? ???f?µ?? -??at??f??
• ??? Tessa???????

2
T?s?
3
??at??f???? ?e???sµ??

• t??p?p???s? t?? s?stas?? t?? t??f?? (p????s?)
• t??p?p???s? t?? p?s?t?ta? ?a? t?? ?ata??µ?? t??
  ?e?µ?t?? (µ???? s???? ?e?µata, µa???? ap? t??
  ??e? ?at????s??)

4
?????s? t?? t??f??

• ???s???? p???sa??a??t?? (e?d????t?? ?
  d?sd????t??) ?at? t?? pa?as?e?? t?? ???a?t?? st?
  sp?t?
• ?p?f????e?? t? p????? p?? p????pte? ?p??e?peta?
  se ??ept??? s?stat??? a?? µ???da ????? ?a?
  µe???e?te? ?? p??? t?? ß??d?a?es?µ?t?ta Ca,Fe ?a?
  Zn a?????a µe t?? ??s?a p?? ???s?µ?p??e?ta? ??a
  p????s? (µe??te? µe guar gum ?a? locust been gum
  Nutrition Volume 17, Numbers 7/8, 2001 Effect of
  Soluble Dietary Fiber on Ca, Fe, and Zn
  Availability
• )

5
?µp????? s?e??sµata µe p??s???? p???sa??a??t??

• ?µ??? ??????
• ?µ??? ?a?aµp?????
• ??e??? ?a???p???
• ???p?p???µ??? s???es? ?ste ?a pa?a??µpt??ta? ta
  µe???e?t?µata t?? ?at????? p????s??

6
?p?te?esµat???t?ta
7
???e???a st? ???a
8
S?t?s? µ?s? ?ast?st?µ?a? ? ??st?d?st?µ?a?
9
G?a µe?a??te?a pa?d?? ?a? ef?ß???

• ?p?f??? s???e???µ???? s?stat???? t?? t??f?? p??
  ep?d???? st?? ?at?te?? ??s?fa???? sf???t??a
  (?af??,s?????ta,ts??, Coca-Cola, µ??ta)
• ?p?f??? ?ata????s?? a?????,??p??sµa
• ?a??sa???a

10
Effects of Thickened Feeding on Gastroesophageal
Reflux in Infants A Placebo-Controlled Crossover
Study Using Intraluminal Impedance
Pediatrics2003111e355e359.

• Thickened feeding (carob bean gum) has a
  significant effect on
• the reduction of regurgitation frequency
• the amount
  
• This effect is caused
• by a reduction in the number of nonacid (pH gt4)
  GER episodes,
• by a decrease of mean reflux height reached in
  the esophagus.
• However, the occurrence of acid GER is not
  reduced.
• The combination of IMP and pH monitoring allows
  the complete registration and description of
  these GER episodes.
• Thickening of formula feedings with carob bean
  gum is an efficient therapy for uncomplicated GER
  in infants.

11
Smaller volume, thickened formulas in the
management of gastroesophageal reflux in thriving
infants. J Pediatr Gastroenterol Nutr. 2000
Nov31(5)554-6.

• There was a significant reduction in frequency of
  emesis and gastroesophageal reflux but not the
  duration of acid pH in the esophagus with the use
  of infant formula thickened with rice cereal to
  provide a nutritionally appropriate intake in a
  smaller volume.