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[Gastroesophageal reflux in children]
1Istituto di Clinica Pediatrica, Università La Sapienza di Roma, Italia.
Insights
Gastroesophageal reflux (GER) occurs when stomach contents flow back into the esophagus due to lower esophageal sphincter issues. GER disease in infants may present with vomiting, poor growth, and anorexia, but therapies can improve symptoms.
Area of Science:
- Gastroenterology
- Pediatric Medicine
Context:
- Gastroesophageal reflux (GER) is a common condition in infants and children.
- It results from the lower esophageal sphincter's inability to prevent the backflow of gastric contents into the esophagus.
Purpose:
- To define gastroesophageal reflux and its common causes.
- To outline the diagnostic suspicion for gastroesophageal reflux disease (GERD) in pediatric populations.
- To highlight recent therapeutic advancements.
Summary:
- Gastroesophageal reflux (GER) involves the regurgitation of stomach contents into the esophagus, often due to lower esophageal sphincter insufficiency.
- GER disease should be suspected in infants and children presenting with symptoms like regurgitation, vomiting, poor weight gain, anorexia, and pyrosis.
- Recent advancements in dietary and pharmacological therapies have shown promise in improving or achieving remission of GER disease.
Impact:
- Provides a clear definition and etiological understanding of GER.
- Aids in the early identification and suspicion of GER disease in pediatric patients.
- Emphasizes the positive impact of modern therapeutic strategies on managing GER disease.
Abstract:
Gastroesophageal reflux (GER) is the return of gastric content from stomach to esophagus. The above phenomenon takes place for sphincter insufficiency of lower esophagus. RGE causes are various. RGE disease must be suspected when a children or an infant shows symptoms such as regurgitation and/or after lunch vomit, poor weight growth, anorexia, pyrosis, etc. In the last years dietetic and pharmacologic therapy have brought an improvement and/or a remission of the GER disease.