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[Guideline 'Gastroesophageal reflux disease in children from 0-18 years']

Marc A Benninga1, Marjolein Y Berger, Leonie M A J Venmans

  • 1Academisch Medisch Centrum (AMC), afd. Kindergeneeskunde, Amsterdam.

Nederlands Tijdschrift Voor Geneeskunde
|March 6, 2014
PubMed

Insights

A new guideline for pediatric gastroesophageal reflux disease (GERD) emphasizes diagnosis through history and physical exams. It clarifies that GERD is distinct from physiological reflux, advising against overuse of medication, especially in infants.

Area of Science:

  • Pediatric Gastroenterology
  • Clinical Practice Guidelines

Background:

  • Gastroesophageal reflux is common in children, but distinguishing it from gastroesophageal reflux disease (GERD) is crucial.
  • Previous guidelines from NASPGHAN and ESPGHAN informed the development of this new Dutch guideline.

Purpose of the Study:

  • To provide a multidisciplinary guideline for managing GERD in children aged 0-18 years.
  • To clarify the distinction between physiological gastroesophageal reflux and GERD.
  • To guide appropriate treatment decisions for pediatric GERD.

Main Methods:

  • Development of a multidisciplinary guideline based on existing international guidelines (NASPGHAN, ESPGHAN).
  • Emphasis on clinical assessment, including history and physical examination, for diagnosis.
  • Establishment of a therapeutic action plan for confirmed GERD cases.

Main Results:

  • History and physical examination are typically sufficient for diagnosing GERD in children.
  • A clear distinction is made between physiological reflux and GERD.
  • Over-prescription of medications, particularly for infants, is noted as a practical issue.

Conclusions:

  • The guideline aims to improve the diagnosis and management of GERD in children.
  • It advocates for a more conservative approach, reserving medication for diagnosed GERD.
  • Accurate differentiation between reflux and GERD is key to appropriate therapeutic interventions.

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