Abstract
The value of a combination of ultrasound studies and barium swallow examination in the analysis of temporal relationships between apnea and reflux is demonstrated. The two techniques allow acute apneic spells induced by gastroesophageal reflux to be documented and underlying specific digestive tract disorders demonstrated. The high incidence of digestive tract disorders in this area has been identified.
Similar content being viewed by others
References
Forshall I (1955) The cardioesophageal syndrome in childhood. Arch Dis Child 30: 46
Gomes H, Menanteau B, Motte J, Cymbalista M (1986) Laryngospasm and sudden unexpected death syndrome. Ann Radiol 29: 313
Jeffery HE, Rahilly P, Read DJC (1983) Multiple causes of asphyxia in infants at high risk for sudden infant death. Arch Dis Child 58: 92
Lilly JR, Randolph JG (1968) Hiatal hernia and gastroesophageal reflux in infants and children. J Thorac Cardiovasc Surg 55: 42
Herbst JJ, Minton SD, Book LS (1979) Gastroesophageal reflux causing respiratory distress and apnea in newborn infants. J Pediatr 95: 763
Rosen CL, Frost JD, Harrison GM (1983) Infant apnea: polygraphic studies and follow-up monitoring. Pediatrics 71: 731
Walsh JK, Farrell MK, Keenan WJ (1981) Gastroesophageal reflux in infants: relation to apnea. J Pediatr 99: 197
Kahn A, Rebuffat E, Sottiaux M, Blum D, Yasik EA (1990) Sleep apneas and acid esophageal reflux in control infants and in infants with an apparent life-threatening event. Biol Neonate 57: 144
Gomes H, Menanteau B (1991) Gastro-esophageal reflux: comparative study between sonography and pH monitoring. Pediatr Radiol 21: 168
Wright LL, Baker KR, Meny RG (1988) Ultrasound demonstration of gastroesophageal reflux. J Ultrasound Med 7: 471
Schey WL, Mens P, Levinsky RA, Campbell C, Replogle R (1981) Esophageal dysmotility and the sudden infant death syndrome. Radiology 140: 73
Kenigsberg K, Boris M, Joseph P, Datlof I (1982) Reflex bradycardia after tracheoesophageal fistula repair. Surgery 71: 125
Tuchman DN, Boyle JT, Jack AL, Schwartz J (1982) Airway response to esophageal and tracheal acidification. A possible mechanism for the association of gastroesophageal reflux and bronchospasm. Pediatrics 16: 180
Wailoo M, Emery JL (1980) The trachea in children with respiratory diseases including children presenting as cot death. Arch Dis Child 55: 199
Heyman S, Kirkpatrick JA, Winter HS (1979) An improved radionuclide method for the diagnosis of gastroesophageal reflux and aspiration in children (milk scan). Radiology 131: 479
Mac Fayden UM, Hendry GMA, Simpson H (1983) Gastroesophageal reflux in near-miss sudden infant death syndrome or suspected recurrent aspiration. Arch Dis Child 58: 81
Guillemeteau C, Saudubray F, Guillet J (1984) Retentissement respiratoire du reflux gastro-oesophagien et ciné-oesophagogastroscintigraphie. Ann Pediatr 31: 649
Couvreur J (1985) Reflux gastro-oesophagien et mort subite chez le nourrisson. Le Pédiatre 92: 199
Itani Y, Fujioka M, Nishimura G, Niitsu N, Oono T (1988) Upper GI examinations in older premature infants with persistent apnea: correlation with simultaneous cardio-respiratory monitoring. Pediatr Radiol 18: 464
Johnson P, Salisbury DM, Storey AT (1975) Apnea induced by stimulation of sensory receptors in the larynx. In: Bosma JF, Showacre J (eds) Development of upper respiratory anatomy and function. Washington US Government Printing Office, p 160
Jolley SG, Herbst JJ, Johnson DG, Matlak ME, Book LS (1981) Esophageal pHmonitoring during sleep identifies children with respiratory symptoms from gastroesophageal reflux. Gastroenterology 80: 1501
Wells HH, Kattwinkel J, Morrow JD (1980) Control of ventilation in ondine's curse. J Pediatr 96: 865
Olinsky A, Bryan MH, Bryan AC (1974) Influences of lung infiltration on respiration control in neonates. J Appl Physiol 36: 426
Purcell M (1976) Response in the newborn to raised upper airway resistance. Arch Dis Child 51: 602
Swift PGF, Emery JL (1973) Clinical observations on response to nasal occlusion in infancy. Arch Dis Child 48: 947
Leape LL, Holder TM, Franklin JD, Amoury RA, Ashcraft KW (1977) Respiratory arrest in infants secondary to gastroesophageal reflux. Pediatrics 60: 924
Downing SE, Lee JC (1975) Laryngeal chemosensitivity: a possible mechanism for sudden infant death. Pediatrics 55: 640
Sutton D, Taylor EM, Lindeman RC (1978) Prolonged apnea in infant monkeys resulting from stimulation of superior laryngeal nerve. Pediatrics 61: 519
Harned HH, Myracle J, Ferreiro J (1978) Respiratory suppression and swallowing from introduction of fluids into the laryngeal region of the lamb. Pediatr Res 12: 1003
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Gomes, H., Lallemand, P. Infant apnea and gastroesophageal reflux. Pediatr Radiol 22, 8–11 (1992). https://doi.org/10.1007/BF02011601
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF02011601