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Published on: December 14, 2020

Gastroesophageal reflux in infants: a primary care perspective

Amy Lynn Arguin1, Martha K Swartz

  • 1Yale University School of Nursing, New Haven, CT, USA.

Pediatric Nursing
|March 17, 2004
PubMed

Insights

Pediatric nurses play a key role in managing infant gastroesophageal reflux (GER). While uncomplicated GER often resolves with conservative measures, gastroesophageal reflux disease (GERD) requires further evaluation and treatment.

Area of Science:

  • Pediatrics
  • Gastroenterology
  • Nursing Care

Background:

  • Gastroesophageal reflux (GER) is a frequent concern for families during an infant's first year.
  • Uncomplicated GER can typically be managed with conservative interventions.
  • Gastroesophageal reflux disease (GERD) presents with more severe symptoms and potential complications.

Purpose of the Study:

  • To define the role of the pediatric nurse in evaluating and managing infant GER and GERD.
  • To outline conservative and advanced management strategies for infant GER and GERD.
  • To emphasize a comprehensive clinical approach for affected infants and their families.

Main Methods:

  • Clinical review of pediatric nursing roles in GER/GERD management.
  • Discussion of conservative interventions (feeding, positioning, formula changes).
  • Outline of diagnostic evaluation and pharmacologic therapy for GERD.

Main Results:

  • Conservative management is effective for uncomplicated GER.
  • GERD requires diagnostic workup and may necessitate pharmacologic treatment.
  • Potential complications of GER include esophagitis, respiratory issues, and otolaryngologic disorders.

Conclusions:

  • Pediatric nurses are crucial in the assessment and management of infant GER and GERD.
  • A tailored, comprehensive approach considering growth, development, and family dynamics is essential.
  • Early identification and appropriate management can mitigate GERD complications.

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