Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/9267
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Type: Journal article
Title: Patterns of antropyloric motility in fed healthy preterm infants
Author: Southcott, B.
Butler, R.
Davidson, G.
Benninga, M.
Haslam, R.
Barnett, C.
Dent, J.
Omari, T.
Citation: Archives of Disease in Childhood, 2002; 87(2):F95-F99
Publisher: British Medical Journal Publishing Group
Issue Date: 2002
ISSN: 0003-9888
1468-2052
Statement of
Responsibility: 
B B Hassan, R Butler, G P Davidson, M Benninga, R Haslam, C Barnett, J Dent, T I Omari
Abstract: Background: Antropyloric motility is important for regulation of gastric emptying and has not been adequately characterised in premature infants. Aim: To evaluate fed patterns of antropyloric motility in premature infants. Subjects: Forty three healthy premature infants, 30–38 weeks of postmenstrual age. Methods: Postprandial antropyloric motility was measured using a micromanometric feeding assembly (outer diameter 1.8 mm) incorporating a pyloric sleeve sensor. The occurrence of isolated pyloric pressure waves (IPPWs) and antral pressure wave sequences (PWSs) was characterised. Sequences were further classified as being antegrade, synchronous, antegrade-synchronous, and retrograde according to the direction of propagation. Results: A total of 7289 pressure wave events were recorded, 48% IPPWs and 52% PWSs (18% antegrade, 12% synchronous, 13% antegrade-synchronous, 2% retrograde, and 7% undefined). IPPWs predominated in the first postprandial hour, peaking at 30–60 minutes. PWSs predominated in the period after one hour postprandially. Mean (SEM) half gastric emptying time was 42 (4) minutes. Conclusions: Monitoring of antropyloric motor patterns in healthy premature infants indicates that the neuroregulatory mechanisms responsible for the coordination of antropyloric motility and gastric emptying are well developed by 30 weeks of postmenstrual age.
Keywords: gastric emptying; antrum; pylorus; motility; nutrition
Rights: Copyright © 2002 by the BMJ Publishing Group Ltd.
RMID: 0020020694
DOI: 10.1136/fn.87.2.F95
Description (link): http://fn.bmj.com/cgi/content/abstract/87/2/F95
Appears in Collections:Medicine publications

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