Abstract â–¡ 50

GER can be viewed as premorbid background for aspiration pneumonia reflux-esophagitis and even sudden infant death syndrome. Modern approaches to regurgitation and GER profilaxis and treatment envisage the appropriate forced position of the infant during and after feeding as well as diet and drug therapy. The most perspective therapy is considered to be dietary management due to its accessibility and non-invasive character.

However, the opinion of the researchers into this problem differs. Therefore the aim of our investigations is to estimate the effectiveness of alimentary correction of regurgitation and GER in infants with the usage of different specialized thickened feeding (jelly-like dishes "Remedia" Israel; products "Semolin", Hipp, Austria, "Phrisovom" Phrizland, Holland; "Enfamil" Mid Djonson, Holland/USA, "Nutrilon AR" "Nutricia, Holland").

Seventy infants of the six months of age were examined. The tepresantative group of the infants receiving drug therapy was control one. Our results showed that the therapeutic effectiveness proved to be most effective while using specialized products "Nutrilon AR" "Enfamil AR" and "Phrisovom" Full or partial therapeutic effect was noted in 85-95% of examined infant. The use of jelly-like dishes or "Semolin" proved to be effective in 10-70% of infants and the use of drug therapy alone proves to be effective in 55% of infants.

Our research shows the effectiveness of wide use of when regurgitation in infants occurs. We consider it to one of the most effective approaches to provide adequate feeding and physical development and failure to thrive prevention and sudden infant death syndrome.