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[Gastroesophageal reflux treatment: from therapeutic abstention to surgery]

P Tounian1

  • 1Service de gastroentérologie et nutrition pédiatriques, hôpital Armand-Trousseau, 26 avenue du Dr-Arnold-Netter, Paris cedex 12, France. p.tounian@trs.aphp.fr

Archives De Pediatrie : Organe Officiel De La Societe Francaise De Pediatrie
|July 28, 2009
PubMed

Insights

Evidence for treating pediatric gastroesophageal reflux is limited. This review examines treatment options, finding limited data for most interventions but some support for thickened feeding, prokinetics, and proton pump inhibitors.

Area of Science:

  • Pediatric Gastroenterology
  • Pharmacology
  • Clinical Nutrition

Context:

  • Gastroesophageal reflux is a common condition in children.
  • Current treatment strategies are widely applied but lack robust evidence.
  • A critical review of existing literature is needed to guide clinical practice.

Purpose:

  • To review and analyze the efficacy of various treatment options for pediatric gastroesophageal reflux.
  • To develop an evidence-based treatment strategy for different clinical scenarios.
  • To highlight the need for a critical appraisal of current therapeutic approaches.

Summary:

  • Scientific evidence supporting dietetic and postural advice for pediatric gastroesophageal reflux is scarce.
  • Limited evidence exists for the efficacy of thickened feeding, certain prokinetics, and proton pump inhibitors.
  • A proposed treatment strategy integrates available evidence for practical application in pediatric care.

Impact:

  • Informs evidence-based clinical decision-making for pediatric gastroesophageal reflux management.
  • Identifies research gaps and areas needing further investigation.
  • Promotes a more judicious and effective therapeutic approach to a common childhood condition.

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