Therapeutic option | Strategy Step | Grade of recommendation |
---|---|---|
Positioning | 1 | GRADE B (the left lateral position) |
Feed frequency | 1 | GRADE D |
Thickened formula or feed | 2 | GRADE B (for reducing vomiting) |
Domperidone | 3 | GRADE C/D |
Ranitidine/cimetidine + PPI | 3 | GRADE B/C (in relieving esophagitis) |
Surgery | 4 | Surgical intervention is rarely necessary in case of severe complications |