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Common pediatric esophageal disorders
J F del Rosario1, S R Orenstein
1Department of Pediatrics, University of Pittsburgh School of Medicine, Children's Hospital of Pittsburgh, PA 15213, USA.
Insights
Pediatric esophageal disorders, including common gastroesophageal reflux, cause significant illness. This review covers pathophysiology, presentation, and management of these conditions in children.
Area of Science:
- Pediatric Gastroenterology
- Esophageal Pathophysiology
- Childhood Digestive Health
Background:
- Esophageal disorders in children are a significant cause of morbidity.
- Gastroesophageal reflux is the most prevalent esophageal condition in pediatric populations.
- Other key esophageal issues include strictures, atresia, fistulas, ingestions, and achalasia.
Purpose of the Study:
- To review current knowledge on common pediatric esophageal disorders.
- To detail the pathophysiology, clinical presentation, and management strategies.
- To provide a comprehensive overview for clinicians and researchers.
Main Methods:
- Literature review of pediatric esophageal disorders.
- Synthesis of information on pathophysiology and clinical aspects.
- Summary of current diagnostic and treatment approaches.
Main Results:
- Gastroesophageal reflux is the most common disorder.
- A range of other conditions including strictures, atresia, foreign body ingestions, and achalasia are discussed.
- Current understanding of diagnostic and therapeutic interventions is presented.
Conclusions:
- Effective management of pediatric esophageal disorders requires understanding their diverse etiologies.
- Accurate diagnosis and timely treatment are crucial for improving outcomes.
- Continued research is needed to further refine management strategies.
Abstract:
Esophageal disorders in children can result in significant morbidity. The most common esophageal disorder seen in children is gastroesophageal reflux. Other common disorders affecting the esophagus include peptic esophageal strictures, esophageal atresia with or without tracheoesophageal fistula, caustic and foreign body ingestions, achalasia, and cricopharyngeal achalasia. We discuss what is currently known about these common pediatric esophageal disorders with regard to pathophysiology, clinical presentation, and diagnostic and treatment strategies.
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