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Gastroesophageal reflux in infants and children

R S Chana, R U Singhania, A Bansal

    Indian Pediatrics
    |February 1, 1989
    PubMed

    Insights

    Gastroesophageal reflux is common in children with symptoms like vomiting and cough. Barium esophagram and conservative treatment are effective for managing pediatric gastroesophageal reflux.

    Area of Science:

    • Pediatrics
    • Gastroenterology

    Background:

    • Gastroesophageal reflux (GER) presents with diverse symptoms in infants and children.
    • Symptoms include vomiting, failure to thrive, chronic cough, recurrent pneumonia, and atypical asthma.

    Purpose of the Study:

    • To evaluate the prevalence of GER in pediatric patients with suggestive symptoms.
    • To assess the efficacy of conservative management for GER in this population.

    Main Methods:

    • A cohort of 75 infants and children with relevant clinical features were evaluated.
    • Standard barium esophagram was used to diagnose gastroesophageal reflux.
    • Patients diagnosed with GER received medical and conservative treatment.

    Main Results:

    • Gastroesophageal reflux was diagnosed in 74.7% of patients (56 out of 75).
    • As many as 80% of infants studied exhibited GER.
    • All patients showed subjective improvement with conservative treatment within 6 weeks to 6 months.
    • No further complications of GER were observed during follow-up.

    Conclusions:

    • Gastroesophageal reflux is highly prevalent in symptomatic infants and children.
    • Barium esophagram is a valuable diagnostic tool for suspected pediatric GER.
    • Conservative management is effective and the primary approach for treating GER in children.

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