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Bleeding Barrett's ulcer as a complication of GERD [corrected] in physically and intellectually disabled
E Jarocka-Cyrta1, J Wasilewska, K Sendrowski
1III Department of Pediatrics, Medical University of Białystok, Poland. ejarocka@op.pl
Insights
Gastroesophageal reflux disease (GERD) is often missed in disabled individuals due to non-specific symptoms. Two disabled children developed severe GERD complications, including Barrett
Area of Science:
- Pediatric Gastroenterology
- Disability Studies
Background:
- Gastroesophageal reflux disease (GERD) is prevalent in individuals with physical and intellectual disabilities.
- Non-specific symptoms often lead to GERD being overlooked in this patient population.
Observation:
- Two cases of disabled children with severe GERD complications are presented.
- These complications, including Barrett's esophagus and bleeding ulcers, occurred without typical GERD symptoms.
Findings:
- Delayed diagnosis of GERD in disabled children can lead to serious, life-threatening complications.
- Barrett's esophagus and ulceration represent significant risks in this vulnerable group.
Implications:
- Increased vigilance and awareness for GERD are crucial in physically and intellectually disabled children.
- Early detection and management strategies for GERD are needed to prevent severe outcomes in disabled pediatric patients.
Abstract:
Gastroesophageal reflux disease (GERD) is a problem frequently occurring among physically and intellectually disabled individuals. In this group of patients GERD is often overlooked, since the symptoms are usually non-specific. We present two cases of disabled children, who developed complications of GERD in the form of Barrett's esophagus, Barrett's ulceration and bleeding, the life-threatening events which were not preceded by typical GERD complaints.
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