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Causes of apparent life threatening events in infants: a systematic review
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  • Published on:
    Reply to eLetterof 29.22.04 from John WL Puntis et al
    • Michael BH Smith, Consultant paediatrician
    • Other Contributors:
      • Mary Claire Mc Govern

    Dear Editor,

    We appreciate the thoughtful comments on our recent paper and apologise that, due to holidays, there has been a delay in replying.

    The main points raised by Dr Puntis and Booth are:
    1) Most of the studies in this review did not diagnose GORD by the accepted criteria
    2) The issue of causality was not addressed
    3)They recommend investig...

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    Conflict of Interest:
    None declared.
  • Published on:
    ALTE and gastro-oesophageal reflux
    • John WL Puntis, Consultant Paediatric Gastroenterologist
    • Other Contributors:
      • Ian W Booth

    Dear Editor,

    McGovern and Smith [1] have embarked upon the welcome development of an evidence based algorithm for the investigation of infants presenting with an apparent life threatening event (ALTE). Unfortunately, they do not distinguish between coincidence and causality. Recurrent vomiting occurs in over 60% of 4 month old babies [2], and it is therefore unsurprising that gastro-oesophageal reflux is commonly...

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    Conflict of Interest:
    None declared.