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Treatment options in pediatric GERD

Neelesh A Tipnis1, Colin D Rudolph

  • 1Neelesh A. Tipnis, MD Department of Pediatrics, Medical College of Wisconsin, 8701 Watertown Plank Road, Milwaukee, WI 53226, USA. ntipnis@mcw.edu

Current Treatment Options in Gastroenterology
|September 28, 2007
PubMed

Insights

Gastroesophageal reflux disease (GERD) in children requires careful evaluation and treatment. Acid-suppression therapy is common for GERD, but its goals and risks must be weighed before use.

Area of Science:

  • Pediatric Gastroenterology
  • Infant Health
  • Digestive Disorders

Background:

  • Gastroesophageal reflux (GER) is a normal physiological process in infants and children.
  • When GER causes symptoms or complications, it is termed gastroesophageal reflux disease (GERD).
  • GERD necessitates specific diagnostic approaches and therapeutic interventions.

Purpose of the Study:

  • To outline the evaluation and management of GERD in pediatric populations.
  • To emphasize the importance of judicious pharmacologic treatment for GERD.
  • To discuss the considerations surrounding acid-suppression therapy and surgical options.

Main Methods:

  • Review of current clinical practices and literature regarding GERD in children.
  • Analysis of the role of acid-suppression therapy in managing GERD symptoms.
  • Evaluation of the indications and limitations of surgical interventions for GERD.

Main Results:

  • Acid-suppression therapy is the primary pharmacological approach for GERD.
  • Careful consideration of treatment objectives and potential adverse effects of acid suppression is crucial.
  • Surgical treatment for GERD in children has a limited scope.

Conclusions:

  • Effective management of pediatric GERD involves targeted evaluation and appropriate treatment strategies.
  • Pharmacological treatment, particularly acid suppression, should be used judiciously, balancing benefits against risks.
  • The role of surgery in GERD management is currently restricted.

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