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Enfermedad por reflujo gastroesofágico infantil

¹Department of Pediatric Surgery, King George's Medical University, Lucknow 226003, Uttar Pradesh, India. dranand27@rediffmail.com.

World journal of clinical pediatrics

|August 29, 2025

Resumen

El diagnóstico del reflujo gastroesofágico pediátrico (ERGE) es complejo. La impedancia intraluminal multicanal combinada y el monitoreo del pH ofrecen una precisión superior, guiando el manejo gradual desde la medicación hasta la cirugía.

Área de la Ciencia:

Gastroenterología pediátrica
Precisión del diagnóstico en la enfermedad de reflujo

Sus antecedentes:

El diagnóstico del reflujo gastroesofágico (ERGE) en niños presenta desafíos significativos.
La diferenciación entre chalasia infantil benigna y GERD patológica es fundamental para la atención adecuada del paciente.

Objetivo del estudio:

Revisar los enfoques de diagnóstico para la ERGE pediátrica.
Destacar las herramientas de diagnóstico avanzadas y las estrategias de gestión.

Principales métodos:

Revisión de la literatura actual sobre el diagnóstico pediátrico de ERGE.
Se hace hincapié en el control combinado de la impedancia intraluminal multicanal y del pH (MII-pH).
Discusión del papel en evolución de las exploraciones nucleares.

Principales resultados:

El monitoreo de la MII-pH demuestra una precisión diagnóstica superior para la ERGE.
El papel de las exploraciones nucleares en el diagnóstico de ERGE requiere más investigación.
Se recomienda un enfoque de gestión gradual.

Conclusiones:

El diagnóstico preciso de la ERGE pediátrica es esencial.
El monitoreo de MII-pH es un avance clave en el diagnóstico de ERGE.
La gestión implica una estrategia escalonada, que incluye opciones médicas y quirúrgicas.

Palabras clave:

Acálasia Los niños El diagnóstico Reflujo gastroesofágico Gestión médica Tratamiento quirúrgico

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