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[Clinical aspects of gastro-esophageal reflux in children]
M Kaczmarski1, M Szczepański, A Puchnarewicz
1Kliniki Chorób Zakaźnych Dzieci Ak. Med. w Białymstoku.
Insights
Gastro-oesophageal reflux in children can cause digestive and respiratory issues, poor weight gain, and dangerous apnea spells. Early diagnosis and management are crucial for affected pediatric patients.
Area of Science:
- Pediatrics
- Gastroenterology
- Pulmonology
Background:
- Gastro-oesophageal reflux (GOR) is a common condition in infants and children.
- Clinical manifestations of GOR can be diverse, affecting multiple organ systems.
- Radiological confirmation is essential for diagnosing GOR in pediatric patients.
Purpose of the Study:
- To analyze the clinical manifestations of radiologically confirmed gastro-oesophageal reflux in hospitalized children.
- To identify the primary symptoms associated with GOR in the pediatric population.
- To investigate the impact of GOR on growth and respiratory events.
Main Methods:
- Retrospective analysis of 20 hospitalized children aged 2 months to 7 years.
- Inclusion criteria: radiologically demonstrated gastro-oesophageal reflux.
- Data collection focused on clinical symptoms, body weight, and episodes of apnea with cyanosis.
Main Results:
- The most frequent symptoms observed were related to the digestive tract and respiratory system.
- Gastro-oesophageal reflux was identified as a contributing factor to deficient body weight in this cohort.
- Apnea attacks with cyanosis were significant clinical manifestations linked to GOR.
Conclusions:
- Gastro-oesophageal reflux presents with significant digestive and respiratory symptoms in children.
- GOR negatively impacts nutritional status (deficient body weight) and can lead to life-threatening events like apnea.
- Prompt recognition and intervention for pediatric GOR are vital to prevent severe complications.
Abstract:
In 20 children hospitalized in the age range from 2 months to 7 years the clinical manifestations caused by radiologically demonstrated gastro-oesophageal reflux were analysed. The main symptoms were from the digestive tract and respiratory system. In this group of children this reflux was also the cause of deficient body weight and attacks of apnoea with cyanosis.