Gastric Residual Volume Linked to Gastric Fluid pH in Infants with Very Low Birth Weight

Lilan He; Weiju Chen; Yanfei Li; Minping Deng

doi:doi:10.11648/j.ajns.20170604.21

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Gastric Residual Volume Linked to Gastric Fluid pH in Infants with Very Low Birth Weight

Lilan He, Weiju Chen, Yanfei Li, Minping Deng

Published in American Journal of Nursing Science (Volume 6, Issue 4)

Received: 16 July 2017 Accepted: 24 July 2017 Published: 17 August 2017

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Abstract

Limited information exists regarding the correlation between gastric residual volume and gastric fluid pH before feedings in infants with very low birth weight. The purpose of this study was to evaluate this relationship in infants with feeding tolerance compared with that in those with feeding intolerance. A total of 86 infants with very low birth weight were included in the study, including 43 with feeding tolerance (study group) and 43 with feeding intolerance (control group). Gastric residual volume was obtained using a feeding tube and acidity measured using a pH-test paper. The gastric fluid pH was measured before each feeding in both the groups and compared. Demographic and clinical characteristics were similar between very low birth weight infants with and without feeding intolerance. Significant differences were observed in the gastric fluid pH between groups (p < 0.05). The gastric fluid pH value significantly increased with increasing gastric residual volume in a linear fashion (Pearson correlation = 0.543; P < 0.05). There is a positive linear correlation between gastric residual volume and gastric juice pH value in infants with very low birth weight.

Published in	American Journal of Nursing Science (Volume 6, Issue 4)
DOI	10.11648/j.ajns.20170604.21
Page(s)	366-369
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2017. Published by Science Publishing Group

Keywords

Very Low Birth Weight Infants, Feeding Intolerance, Gastric Residual Volume, Gastric Fluid pH

References

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[2]	Prince A, Groh-Wargo S. Nutrition management for the promotion of growth in very low birth weight premature infants. Nutrition in Clinical Practice. 2013; 28 (6): 659-68.
[3]	Carter BM. Feeding intolerance in preterm infants and standard of care guidelines for nursing assessments. Newborn and Infant Nursing Reviews. 2012; 12 (4): 187-201.
[4]	Surmeli-Onay O, Korkmaz A, Yigit S, Yurdakok M. Feeding intolerance in preterm infants fed with powdered or liquid formula: a randomized controlled, double-blind, pilot study. European Journal of Pediatrics. 2013; 172 (4): 529-36.
[5]	Torrazza R, Parker L, Li Y, Talaga E, Shuster J, Neu J. The value of routine evaluation of gastric residuals in very low birth weight infants. Journal of Perinatology. 2015; 35 (1): 57-60.
[6]	Fanaro, Silvia. Feeding intolerance in the preterm infant. Early human development 2013; 89: S13-S20.
[7]	Li Y-F, Lin H-C, Torrazza RM, Parker L, Talaga E, Neu J. Gastric residual evaluation in preterm neonates: a useful monitoring technique or a hindrance? Pediatrics & Neonatology. 2014; 55 (5): 335-40.
[8]	Stefanescu BM, Gillam-Krakauer M, Stefanescu AR, Markham M, Kosinski JL. Very low birth weight infant care: adherence to a new nutrition protocol improves growth outcomes and reduces infectious risk. Early Human Development. 2016; 94: 25-30.
[9]	Kelly E, Newell S, Brownlee K, Primrose J, Dear P. Gastric acid secretion in preterm infants. Early Human Development. 1993; 35 (3): 215-20.
[10]	Renner M. Far from reliable: pH testing in the neonatal intensive care unit. Journal of Pediatric Nursing. 2010; 25 (6): 580-3.
[11]	Meert KL, Caverly M, Kelm LM, Metheny NA. The pH of Feeding Tube Aspirates From Critically Ill Infants. American Journal of Critical Care. 2015; 24 (5): e72-e7.
[12]	Parker L, Torrazza RM, Li Y, Talaga E, Shuster J, Neu J. Aspiration and Evaluation of Gastric Residuals in the NICU: State of the Science. The Journal of Perinatal & Neonatal Nursing. 2015; 29 (1): 51.
[13]	Kışlalı FM, Havan M, Sarıcı D, Kılıç M, Razi CH. Feeding Intolerance and Gastric Acid Levels of the Neonates. 2014.
[14]	Washington N, Spensley P, Smith C, Parker M, Bush D, Jackson S, et al. Dual pH probe monitoring versus single pH probe monitoring in infants on milk feeds: the impact on diagnosis. Archives of Disease in Childhood. 1999; 81 (4): 309-12.
[15]	Mitchell D, McClure B, Tubman T. Simultaneous monitoring of gastric and oesophageal pH reveals limitations of conventional oesophageal pH monitoring in milk fed infants. Archives of Disease in Childhood. 2001; 84 (3): 273-6.
[16]	Omari T, Davidson G. Multipoint measurement of intragastric pH in healthy preterm infants. Archives of Disease in Childhood-Fetal and Neonatal Edition. 2003; 88 (6): F 517-F 20.
[17]	Boyle JT. Acid secretion from birth to adulthood. Journal of Pediatric Gastroenterology and Nutrition. 2003; 37: S12-S6.

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APA Style

Lilan He, Weiju Chen, Yanfei Li, Minping Deng. (2017). Gastric Residual Volume Linked to Gastric Fluid pH in Infants with Very Low Birth Weight. American Journal of Nursing Science, 6(4), 366-369. https://doi.org/10.11648/j.ajns.20170604.21

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ACS Style

Lilan He; Weiju Chen; Yanfei Li; Minping Deng. Gastric Residual Volume Linked to Gastric Fluid pH in Infants with Very Low Birth Weight. Am. J. Nurs. Sci. 2017, 6(4), 366-369. doi: 10.11648/j.ajns.20170604.21

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AMA Style

Lilan He, Weiju Chen, Yanfei Li, Minping Deng. Gastric Residual Volume Linked to Gastric Fluid pH in Infants with Very Low Birth Weight. Am J Nurs Sci. 2017;6(4):366-369. doi: 10.11648/j.ajns.20170604.21

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@article{10.11648/j.ajns.20170604.21,
  author = {Lilan He and Weiju Chen and Yanfei Li and Minping Deng},
  title = {Gastric Residual Volume Linked to Gastric Fluid pH in Infants with Very Low Birth Weight},
  journal = {American Journal of Nursing Science},
  volume = {6},
  number = {4},
  pages = {366-369},
  doi = {10.11648/j.ajns.20170604.21},
  url = {https://doi.org/10.11648/j.ajns.20170604.21},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20170604.21},
  abstract = {Limited information exists regarding the correlation between gastric residual volume and gastric fluid pH before feedings in infants with very low birth weight. The purpose of this study was to evaluate this relationship in infants with feeding tolerance compared with that in those with feeding intolerance. A total of 86 infants with very low birth weight were included in the study, including 43 with feeding tolerance (study group) and 43 with feeding intolerance (control group). Gastric residual volume was obtained using a feeding tube and acidity measured using a pH-test paper. The gastric fluid pH was measured before each feeding in both the groups and compared. Demographic and clinical characteristics were similar between very low birth weight infants with and without feeding intolerance. Significant differences were observed in the gastric fluid pH between groups (p < 0.05). The gastric fluid pH value significantly increased with increasing gastric residual volume in a linear fashion (Pearson correlation = 0.543; P < 0.05). There is a positive linear correlation between gastric residual volume and gastric juice pH value in infants with very low birth weight.},
 year = {2017}
}

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TY - JOUR
T1 - Gastric Residual Volume Linked to Gastric Fluid pH in Infants with Very Low Birth Weight
AU - Lilan He
AU - Weiju Chen
AU - Yanfei Li
AU - Minping Deng
Y1 - 2017/08/17
PY - 2017
N1 - https://doi.org/10.11648/j.ajns.20170604.21
DO - 10.11648/j.ajns.20170604.21
T2 - American Journal of Nursing Science
JF - American Journal of Nursing Science
JO - American Journal of Nursing Science
SP - 366
EP - 369
PB - Science Publishing Group
SN - 2328-5753
UR - https://doi.org/10.11648/j.ajns.20170604.21
AB - Limited information exists regarding the correlation between gastric residual volume and gastric fluid pH before feedings in infants with very low birth weight. The purpose of this study was to evaluate this relationship in infants with feeding tolerance compared with that in those with feeding intolerance. A total of 86 infants with very low birth weight were included in the study, including 43 with feeding tolerance (study group) and 43 with feeding intolerance (control group). Gastric residual volume was obtained using a feeding tube and acidity measured using a pH-test paper. The gastric fluid pH was measured before each feeding in both the groups and compared. Demographic and clinical characteristics were similar between very low birth weight infants with and without feeding intolerance. Significant differences were observed in the gastric fluid pH between groups (p < 0.05). The gastric fluid pH value significantly increased with increasing gastric residual volume in a linear fashion (Pearson correlation = 0.543; P < 0.05). There is a positive linear correlation between gastric residual volume and gastric juice pH value in infants with very low birth weight.
VL - 6
IS - 4
ER -

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Author Information

Lilan He

Neonatal Department, The First Af?liated Hospital, Jinan University, Guangzhou, China
Weiju Chen

Nursing Department, The First Af?liated Hospital, Jinan University, Guangzhou, China
Yanfei Li

Surgical Department, The First Af?liated Hospital, Jinan University, Guangzhou, China
Minping Deng

Surgical Department, The First Af?liated Hospital, Jinan University, Guangzhou, China

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Plain Text BibTeX RIS

APA Style

Lilan He, Weiju Chen, Yanfei Li, Minping Deng. (2017). Gastric Residual Volume Linked to Gastric Fluid pH in Infants with Very Low Birth Weight. American Journal of Nursing Science, 6(4), 366-369. https://doi.org/10.11648/j.ajns.20170604.21

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ACS Style

Lilan He; Weiju Chen; Yanfei Li; Minping Deng. Gastric Residual Volume Linked to Gastric Fluid pH in Infants with Very Low Birth Weight. Am. J. Nurs. Sci. 2017, 6(4), 366-369. doi: 10.11648/j.ajns.20170604.21

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AMA Style

Lilan He, Weiju Chen, Yanfei Li, Minping Deng. Gastric Residual Volume Linked to Gastric Fluid pH in Infants with Very Low Birth Weight. Am J Nurs Sci. 2017;6(4):366-369. doi: 10.11648/j.ajns.20170604.21

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@article{10.11648/j.ajns.20170604.21,
  author = {Lilan He and Weiju Chen and Yanfei Li and Minping Deng},
  title = {Gastric Residual Volume Linked to Gastric Fluid pH in Infants with Very Low Birth Weight},
  journal = {American Journal of Nursing Science},
  volume = {6},
  number = {4},
  pages = {366-369},
  doi = {10.11648/j.ajns.20170604.21},
  url = {https://doi.org/10.11648/j.ajns.20170604.21},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20170604.21},
  abstract = {Limited information exists regarding the correlation between gastric residual volume and gastric fluid pH before feedings in infants with very low birth weight. The purpose of this study was to evaluate this relationship in infants with feeding tolerance compared with that in those with feeding intolerance. A total of 86 infants with very low birth weight were included in the study, including 43 with feeding tolerance (study group) and 43 with feeding intolerance (control group). Gastric residual volume was obtained using a feeding tube and acidity measured using a pH-test paper. The gastric fluid pH was measured before each feeding in both the groups and compared. Demographic and clinical characteristics were similar between very low birth weight infants with and without feeding intolerance. Significant differences were observed in the gastric fluid pH between groups (p < 0.05). The gastric fluid pH value significantly increased with increasing gastric residual volume in a linear fashion (Pearson correlation = 0.543; P < 0.05). There is a positive linear correlation between gastric residual volume and gastric juice pH value in infants with very low birth weight.},
 year = {2017}
}

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