Diagnosis and Management of Gastroesophageal Reflux Disease in Infants and Children: from Guidelines to Clinical Practice

被引:30
|
作者
Ayerbe, Jeaneth Indira Gonzalez [1 ]
Hauser, Bruno [1 ]
Salvatore, Silvia [2 ]
Vandenplas, Yvan [1 ]
机构
[1] Vrije Univ Brussel, KidZ Hlth Castle, UZ Brussel, Laarbeeklaan 101, B-1090 Brussels, Belgium
[2] Univ Insubria, Dept Pediat, Varese, Italy
关键词
Gastro-esophageal reflux; Gastroesophageal reflux disease; Esophagitis; Endoscopy; Impedance; Proton pump inhibitors; pH; LAPAROSCOPIC NISSEN FUNDOPLICATION; NORTH-AMERICAN SOCIETY; EXTRAESOPHAGEAL REFLUX; PEDIATRIC GASTROENTEROLOGY; JOINT RECOMMENDATIONS; EUROPEAN-SOCIETY; DOUBLE-BLIND; ESOPHAGEAL; EFFICACY; EXPERIENCE;
D O I
10.5223/pghn.2019.22.2.107
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
The diagnosis and management of gastro-esophageal reflux (GER) and GER disease (GERD) in infants and children remains a challenge. Published guidelines and position papers, along with Embase, MEDLINE, and the Cochrane Database were reviewed and summarized with the intent to propose a practical approach and management of GER and GERD for healthcare providers and to standardize and improve the quality of care for infants and children. For this purpose, 2 algorithms were developed, 1 for infants < 12 months of age and the other for older children. None of the signs and symptoms of GER and GERD are specific and there is no gold standard diagnostic test or tool. Nutritional management is recommended as a first-line approach in infants, while in children, a therapeutic trial with antacid medication is advised for early management. The practical recommendations from this review are intended to optimize the management of GER in infants and older children and reduce the number of investigations and inappropriate use of medication.
引用
收藏
页码:107 / 121
页数:15
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