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[Recurrent obstructive bronchitis in infants].

C Casar, A Díaz, E Ceruti

    Boletin Medico Del Hospital Infantil De Mexico
    |July 1, 1979
    PubMed
    Summary

    Gastroesophageal reflux is common in infants with recurrent obstructive bronchitis, often without vomiting. Treating reflux improves respiratory symptoms and sphincter function, but failure may lead to asthma.

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    Area of Science:

    • Pediatrics
    • Gastroenterology
    • Pulmonology

    Context:

    • Recurrent obstructive bronchitis in infants is a common clinical problem.
    • Gastroesophageal reflux (GER) is a potential contributing factor.
    • Diagnostic methods include clinical evaluation, chest X-rays, and manometry.

    Purpose:

    • To investigate the prevalence of gastroesophageal reflux in infants with recurrent obstructive bronchitis.
    • To assess the relationship between GER and gastroesophageal sphincter function.
    • To evaluate the efficacy of medical treatment for GER on respiratory symptoms and sphincter function.

    Summary:

    • The study included 458 infants with recurrent obstructive bronchitis.
    • Radiological reflux was detected in 49.1% of infants, with shorter and lower-pressure gastroesophageal sphincters compared to controls.
    • Medical treatment of GER resulted in symptom remission in 63.5% and improved sphincter function.
    • Long-term follow-up revealed asthma development in 56.6% of those unresponsive to treatment.

    Impact:

    • Highlights the significant role of GER in infant respiratory distress.
    • Demonstrates the therapeutic benefit of GER management in pediatric obstructive bronchitis.
    • Identifies potential risk factors for developing bronchial asthma in infants with persistent GER.

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