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[Gastroesophageal reflux]
1Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brazil.
Jornal De Pediatria
|December 17, 2003
Summary
Gastroesophageal reflux in children is common and usually benign, often resolving with general measures. Medical management with prokinetics and antacids controls symptoms, with surgery reserved for severe cases.
Area of Science:
- Pediatric Gastroenterology
- Clinical Medicine
Background:
- Gastroesophageal reflux is a frequent reason for pediatric gastroenterology consultations.
- It is typically a benign condition characterized by regurgitation.
Purpose of the Study:
- To review the clinical, diagnostic, and therapeutic aspects of pediatric gastroesophageal reflux.
Main Methods:
- A literature review was conducted.
- Databases searched included Lilacs and Medline over the past 30 years.
Main Results:
- General measures, such as thickened/solid diets and maintaining an erect posture, are recommended.
- Medical management with prokinetic agents and antacids effectively controls symptoms and prevents complications.
- Fundoplication is indicated in a small percentage of cases.
Conclusions:
- Prokinetic agents like cisapride require caution due to potential cardiac side effects; alternative agents are preferred in children.
- Antacid medications are indicated for bronchospasm or esophagitis manifestations.