Milk Temperature Influences Esophageal Motility in the Newborn Lamb

Djeddi, Djamal; Samson, Nathalie; Praud, Jean-Paul

Journal of Pediatric Gastroenterology & Nutrition: January 2013 - Volume 56 - Issue 1 - p 27–29
doi: 10.1097/MPG.0b013e318263caca
Original Articles: Gastroenterology

ABSTRACT: Esophageal dysmotility is common in infants. We aimed to evaluate the influence of milk temperature on esophageal motility using multichannel intraluminal impedance-pH monitoring (MII-pH). Five healthy lambs, ages 2 to 3 days, underwent a MII-pH whereas bottle-fed randomly with 50 mL of ewe milk at 26°C, 38.5°C, and 41.5°C. Impedance motility parameters were studied on 5 swallows at each temperature. At 38.5°C we noted a higher total propagation velocity and a shorter total bolus transit time (TBTT) (P < 0.05). These unique results suggest a potential role of milk temperature alterations in improving oral feeding in infants with esophageal dysmotility.

Neonatal Respiratory Research Unit, Departments of Pediatrics and Physiology, Université de Sherbrooke, Sherbrooke, QC, Canada.

Address correspondence and reprint requests to Djamal-Dine Djeddi, MD, PhD, Departments of Pediatrics and Physiology, Université de Sherbrooke, Sherbrooke, QC J1H 5N4, Canada (e-mail:

Received 26 March, 2012

Accepted 7 June, 2012

Djamal Djeddi was supported by the Department of Pediatrics, Amiens University Hospital, France and the 2011 Chiesi-JFRN scholarship. The study was also supported by the Canada Research Chair in Neonatal Respiratory Physiology allocated to Jean-Paul Praud.

Copyright 2013 by ESPGHAN and NASPGHAN