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[Gastroesophageal reflux]
R S Severijnen1, F H van der Staak, D C van der Zee
1Kinderchirurgisch Centrum Nijmegen, St. Radboud Ziekenhuis.
Insights
Gastro-oesophageal reflux (GER) in children can present with varied symptoms, including respiratory issues and SIDS-related events. pH monitoring, barium meals, and endoscopy are key diagnostic tools for GER.
Area of Science:
- Pediatric Gastroenterology
- Pediatric Surgery
Abstract:
Gastro-oesophageal reflux (GER) in children, causes sometimes aspecific symptoms in children. Not only in the case of regurgitation but also in respiratory problems or even in the 'near missed' - Sudden Infant Death Syndrome GER is to be considered. The most important method of investigation is pH-monitoring during 24 hours preceded by a barium meal and followed by endoscopy, in most cases. Operative treatment is necessary for a hiatal hernia, or after failure of conservative treatment of an oesophagitis. In mentally retarded children, who continue to vomit, a fundoplication can be necessary to improve general care.