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[Gastroesophageal reflux]

F J Penna1, R C Norton

  • 1Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brazil.

Jornal De Pediatria
|December 17, 2003
PubMed
Summary
This summary is machine-generated.

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.

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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.

Related Experiment Videos

  • 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.