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Gastro-Esophageal Reflux in Children
Anna Rybak1, Marcella Pesce2,3, Nikhil Thapar4,5
1Department of Gastroenterology, Division of Neurogastroenterology and Motility, Great Ormond Street Hospital, London WC1N 3JH, UK. anna.rybak@gosh.nhs.uk.
Gastro-esophageal reflux disease (GERD) in infants and children presents differently than in adults. This review covers GERD
Area of Science:
- Pediatrics
- Gastroenterology
Background:
- Gastro-esophageal reflux (GER) is common in infants and children.
- GER can range from benign regurgitation to severe complications defining pathological GERD.
- Infant GERD symptoms often differ from adult presentations like heartburn.
Purpose of the Study:
- To review the presentation, diagnosis, and treatment of GERD in infants and children.
- To provide guidance based on current clinical guidelines.
Main Methods:
- Literature review of current guidelines and available data on pediatric GERD.
- Focus on clinical presentation, diagnostic approaches, and therapeutic strategies.
Main Results:
- Infants have unique factors exacerbating GER, including diet, position, and immature gastro-esophageal junction.
- GERD presentation in children is distinct from adult symptomatology.
- Guidelines offer a framework for managing pediatric GERD.
Conclusions:
- Understanding the distinct features of GERD in infants and children is crucial for accurate diagnosis and management.
- Current guidelines provide a basis for effective treatment strategies.
- Further research may refine management protocols for pediatric GERD.
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