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[How to deal with gastroesophageal reflux in childhood]

M Schuler Barazzoni1, D C Belli, M Schäppi

  • 1Service de gastro-entérologie et transplantation pédiatriques, Département de pédiatrie, HUG, Hôpital des Enfants 1211 Genève 14. mirjam.schuler@hcuge.ch

Revue Medicale Suisse
|March 28, 2006
PubMed

Insights

Gastroesophageal reflux (GER) often resolves in infants, but complicated cases require further investigation. Treatment options for persistent or severe GER depend on clinical presentation, with surgery being rare.

Area of Science:

  • Pediatrics
  • Gastroenterology

Context:

  • Gastroesophageal reflux (GER) is a common pediatric consultation.
  • Most infant GER cases resolve spontaneously.

Purpose:

  • To outline the diagnostic and management approach for pediatric gastroesophageal reflux.
  • To differentiate uncomplicated GER from complicated GER requiring further investigation.

Summary:

  • Initial management involves medication and postural changes.
  • Complicated GER, presenting with esophagitis, respiratory issues, or failure to thrive, necessitates further evaluation.
  • Diagnostic options are guided by clinical presentation, with surgery being a rare intervention.

Impact:

  • Provides a framework for managing pediatric GER.
  • Highlights the importance of clinical assessment in guiding investigations.
  • Emphasizes conservative management for most cases while identifying red flags for advanced care.

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