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Table 7 Milk diet in infant with GERD

From: Pathogenesis, diagnosis, dietary management, and prevention of gastrointestinal disorders in the paediatric population

Type of milk

Indication

Composition

Characteristics

Costs

TFs

Persistent regurgitation, poor weight gain, important symptoms

2 g/100 mL for starch or 1 g/100 mL for carob bean gum addicted to SF

It increases milk viscosity reducing the gastric reflux and other symptoms

 + 

EEF

Suspected CMPA (second choice)

Peptides < 5000 Da

It increases gastric emptying speed

 +  + 

AAF

severe symptoms (selected cases)

Free amino acids 2,1 gr/100 mL

It reduces reflux events

 +  +  + 

HRPFs

Alternative to EEF if CMPA is suspected

Lactose-free, Addition of free Amino-Acids: Lysin Threonine Tryptophan

Well tolerated, appropriate growth pattern

 + 

  1. TFs thickened formulas, EEF extensively hydrolysed formulas, AAF amino acid formulas, HRPFs hydrolysed rice protein formulas