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Children with gastroesophageal reflux with or without partial thoracic stomach (hiatal hernia) have normal gastric

P T Jackson1, J F Glasgow, P S Thomas

  • 1Department of Child Health, Queen's University of Belfast Institute of Clinical Science, Northern Ireland.

Journal of Pediatric Gastroenterology and Nutrition
|January 1, 1989
PubMed

Insights

Gastric emptying rates did not differ between children with gastroesophageal reflux, hiatal hernia, or non-specific vomiting. This study did not explain projectile vomiting in these pediatric reflux conditions.

Area of Science:

  • Pediatric Gastroenterology
  • Digestive Physiology

Background:

  • Gastroesophageal reflux and hiatal hernia are common in children.
  • Projectile vomiting is a frequent symptom, but its cause is not fully understood.

Purpose of the Study:

  • To investigate gastric emptying in children with gastroesophageal reflux and hiatal hernia.
  • To determine if altered gastric emptying explains projectile vomiting in these conditions.

Main Methods:

  • Gastric emptying was measured using a modified double-sampling dye dilution technique.
  • Three groups were studied: reflux with hiatal hernia, reflux alone, and controls with non-specific vomiting.

Main Results:

  • No significant differences in gastric emptying rates were found between the groups.
  • The study did not identify altered gastric emptying as the cause of projectile vomiting.

Conclusions:

  • Altered gastric emptying does not appear to explain projectile vomiting in pediatric gastroesophageal reflux or hiatal hernia.
  • Further research is needed to understand the pathophysiology of projectile vomiting in these pediatric disorders.

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