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Managing gastroesophageal reflux disease in children: The role of endoscopy

Helena As Goldani1, Daltro La Nunes, Cristina T Ferreira

  • 1Helena AS Goldani, Daltro LA Nunes, Cristina T Ferreira, Department of Pediatrics and Gastroenterology Unit, Hospital de Clinicas de Porto Alegre, Faculdade de Medicina da Universidade Federal do Rio Grande do Sul, 90035-903 Porto Alegre-RS, Brazil.

World Journal of Gastrointestinal Endoscopy
|August 23, 2012
PubMed

Insights

Pediatric gastroesophageal reflux disease (GERD) management requires special attention to growth stages. Esophago-gastroduodenoscopy (EGD) with biopsy is crucial for diagnosing GERD in children and ruling out other conditions like eosinophilic esophagitis.

Area of Science:

  • Pediatric Gastroenterology
  • Gastrointestinal Endoscopy

Background:

  • Gastroesophageal reflux disease (GERD) is increasingly prevalent in children, yet management differs from adults due to developmental stages.
  • Current GERD knowledge primarily stems from adult studies, necessitating a focus on pediatric-specific considerations.

Purpose of the Study:

  • To highlight the specialized role of esophago-gastroduodenoscopy (EGD) with biopsy in diagnosing and managing pediatric GERD.
  • To emphasize the importance of considering developmental stages in pediatric GERD management.

Main Methods:

  • Review of current literature on pediatric GERD and the diagnostic utility of EGD.
  • Analysis of EGD findings in children, including tissue damage assessment and differential diagnosis.

Main Results:

  • EGD with biopsy is essential for assessing GERD-related tissue damage in children, despite the lack of a gold standard diagnostic test.
  • EGD plays a vital role in differentiating GERD from other causes of esophagitis, such as eosinophilic esophagitis, in pediatric patients.

Conclusions:

  • Pediatric GERD management requires a tailored approach, acknowledging distinct features from adult GERD.
  • Esophago-gastroduodenoscopy (EGD) with biopsy is a key diagnostic tool in pediatric GERD, aiding in severity assessment and differential diagnosis.

Keywords:
ChildrenEndoscopyEsophagitisGastroesophageal refluxInfants

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