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G P Davidson1, T I Omari

  • 1Gastroenterology Unit, Women's and Children's Hospital, 72 King William Road, North Adelaide, Adelaide, SA, 5006, Australia.

Bailliere'S Best Practice & Research. Clinical Gastroenterology
|September 27, 2000
PubMed

Insights

Gastro-oesophageal reflux (GOR) is common in children, often causing parental anxiety and unnecessary treatments. Advances in diagnostics and therapies are improving management for this pediatric condition.

Area of Science:

  • Pediatric Gastroenterology
  • Gastrointestinal Motility Disorders

Background:

  • Gastro-oesophageal reflux (GOR) is a frequent pediatric issue, frequently benign but can cause significant parental distress.
  • Physiological GOR can lead to excessive investigations and potentially harmful interventions.

Purpose of the Study:

  • To review recent advances in understanding and managing pediatric gastro-oesophageal reflux and gastro-oesophageal reflux disease (GORD).
  • To highlight improvements in diagnostic tools and therapeutic interventions for pediatric GOR/GORD.

Main Methods:

  • Review of advancements in flexible endoscopy, 24-hour esophageal pH monitoring, and micromanometric methods for esophageal motility.
  • Discussion of emerging non-invasive techniques like breath testing and electrical impedance.
  • Overview of improved therapeutic strategies including acid suppression, surgical techniques, and laparoscopic fundoplication.

Main Results:

  • Improved diagnostic capabilities allow for better definition of GOR and GORD in infants and children.
  • Therapeutic interventions, particularly acid suppression and surgical approaches, have seen significant enhancements.
  • Future advancements in non-invasive diagnostics are anticipated.

Conclusions:

  • Recent progress has enhanced the ability to diagnose and manage pediatric GOR and GORD.
  • Continued development in diagnostic and therapeutic modalities promises further improvements in patient care.

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