Gastroesophageal reflux diseases in childhood

被引：0
|
作者：
Ahrens, P. [1 ]
机构：
[1] Darmstadter Kinderkliniken Prinzessin Margaret, D-64287 Darmstadt, Germany
来源：
HNO | 2012年 / 60卷 / 03期
关键词：
Gastroesophageal reflux; Chronic bronchitis; Asthma; Bronchiectasis; Alveolar macrophages; ANTIREFLUX SURGERY; ESOPHAGEAL; CHILDREN; ASPIRATION;
D O I：
10.1007/s00106-011-2442-5
中图分类号：
R76 [耳鼻咽喉科学];
学科分类号：
100213 ;
摘要：
Gastroesophageal reflux diseases represent a diagnostic challenge, not least since no single diagnostic procedure has been able to establish a causal link between pathological reflux and chronic upper and lower airway diseases. By combining a variety of procedures which point to a link (multi-channel pH measurement, impedance measurement of the esophagus, video panendoscopy, bronchoalveolar lavage, and quantification of lipid-laden alveolar macrophages) and careful differential and exclusion diagnoses, reflux-related diseases can be diagnosed with sufficient precision. In addition to initially successful PPI therapy, surgical intervention (hemifundoplication) is the method of choice in children.
引用
收藏
页码：206 / +
页数：7
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