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Understanding gastroesophageal reflux disease in children
Chloe Friedman1, Gianna Sarantos, Sarah Katz
1At the time this article was written, Chloe Friedman, Gianna Sarantos , and Sarah Katz were students in the PA program at Pace University-Lenox Hill Hospital in New York City, N.Y. Sheryl Geisler is an adjunct professor in the PA program at Pace University-Lenox Hill Hospital. The authors have disclosed no potential conflicts of interest, financial or otherwise.
Gastroesophageal reflux disease (GERD) is increasingly diagnosed in children. Management involves lifestyle changes, medication, and surgery for severe cases to prevent complications like failure to thrive.
Area of Science:
- Pediatric Gastroenterology
- Clinical Medicine
Background:
- Gastroesophageal reflux disease (GERD) is a prevalent condition in pediatric populations.
- Diagnosis and management present challenges due to nonspecific symptoms across age groups.
Purpose of the Study:
- To outline the diagnostic and management strategies for pediatric GERD.
- To highlight alarm symptoms requiring further investigation.
Main Methods:
- Review of current literature and clinical guidelines for pediatric GERD.
- Emphasis on stepwise management approach.
Main Results:
- Initial management focuses on lifestyle modifications (posture, diet, weight).
- Pharmacologic interventions are considered for refractory symptoms.
- Surgical options exist for patients unresponsive to conservative treatments.
Conclusions:
- Prompt diagnosis and appropriate management are crucial for preventing GERD complications in children.
- A tiered approach, starting with conservative measures, is recommended.
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