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    Feeding Intolerance and Gastric Acid Levels of the Neonates
    (İnönü Üniversitesi Tıp Fakültesi Dergisi, 2014) Kışlalı, Fatih Mehmet; Havan, Merve; Sarıcı, Dilek; Kılıç, Mustafa; Razi, Cem Hasan
    Aim: The aim of this study is to investigate the relationship between feeding intolerance, a common problem at neonatal intensive care units, and gastric pH levels. The gastric fluid pH levels of the preterm and term infants with feeding intolerance has been measured and compared with those of a control group. Material and Methods: A total of forty-one preterm and term infants were included in the study (17 females, 24 males). There were 12 newborns (six preterms and six terms) in the study (patient) group and 29 newborns (six preterms and twenty-three terms) in the control group. The gastric fluid of the infants with feeding intolerance was received by way of a feeding tube and acidity was measured by using a pH-meter. The gastric pH was measured three times a day in the both groups and thirty minutes prior to feeding in the control group. Results: There was statistically no significant difference between pH1, pH2 and pH3 levels of the two groups (p<0.05). There were significant differences, however, between pH2 levels of the preterm and term infants in the patient group (p=0.007). Some other differences were also marked between pH1 and pH3 levels though they were of little importance as far as statictics are concerned (p=0.08 for pH1, p=0.14 for pH 3). Conclusion: We concluded that gastric pH was sufficient for gastric digestion. The gastric pH levels of the preterm infants with feeding intolerance were found to be lower than gastric pH levels of the term infants with feeding intolerance.