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Gastro-esophageal reflux: spitting and possetting in a neonate

Harish Chellani1, Aashima Dabas, Sugandha Arya

  • 1Neonatal Division, Department of Pediatrics, Safdarjung Hospital, New Delhi, 110029, India, chellaniharish@gmail.com.

Indian Journal of Pediatrics
|August 12, 2014
PubMed

Insights

Gastro-esophageal reflux (GER) in newborns is common but often hard to distinguish from serious conditions. This review offers evidence-based guidelines for diagnosis and management of infant reflux.

Area of Science:

  • Pediatrics
  • Gastroenterology

Background:

  • Gastro-esophageal reflux (GER) is a frequent condition in newborns, causing parental concern.
  • Differentiating physiological GER from pathological reflux is challenging due to non-specific clinical signs in infants.

Purpose of the Study:

  • To review and consolidate evidence-based guidelines for the clinical practice of managing GER in infants.
  • To address the diagnostic and therapeutic challenges associated with infant GER.

Main Methods:

  • Literature review focusing on evidence-based guidelines for GER in infants.
  • Analysis of current diagnostic and treatment modalities.

Main Results:

  • Diagnostic options for infant GER are limited, often lacking sensitivity and availability.
  • Treatment primarily relies on conservative measures, with limited use of pharmacological and surgical interventions.

Conclusions:

  • Effective management of infant GER requires careful differentiation from pathological conditions.
  • A guideline-based approach is crucial for optimizing the care of infants experiencing GER.

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