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2008, Number 4

Med Sur 2008; 15 (4)

Gatroesophageal reflux in Pediatrics. When deserves treatment? Controversy of the last decades

Hernández MJA, Ortega RAT, Márquez VMA
Full text How to cite this article

Language: Español
References: 9
Page: 288-294
PDF size: 102.54 Kb.


Key words:

Gastroesophage reflux, gastroesophageal reflux disease, cow milk intolerance, cow milk allergy.

ABSTRACT

Gastroesophageal reflux disease is one of the most common diagnoses in Pediatrics. However it has been demonstrated that percentage of patients who actually have the disease, is lower than 3%, making it one of the most over diagnosed diseases, and so on, with unnecessary treatment. The objective of this article is to define gastroesophageal reflux and gastroesophageal reflux disease, to identify the symptoms and propose a diagram of choices to facilitate the right diagnosis and treatment.

References

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  2. Jung A. Gastroesophageal reflux in infants and children. Am Fam Physician 2001: 1853-60.

  3. Boyle JT. Gastroesophageal reflux in the pediatric patient. Gastroenterol Clin North Am 1989; 18: 315-37.

  4. Gilger M, El-Serag H, Gold B. Prevalence of endoscopic findings of erosive esophagitis in children: a population-based study. J Pediatr Gastroenterol Nutr 2008; 47: 141-6.

  5. Van Wijk M, Benigna M, Dent J. Effect of body position changes on postprandial gastroesophageal reflux and gastric emptying en the healthy premature neonate. J Pediatrics 2007; 151: 585-90.

  6. Yang Y, Lewis J, Epstein S. Long-term proton pump inhibitor therapy and risk of hip fracture. JAMA 2006; 296: 2947-53.

  7. Dial S, Delaney J, Barkun A. Use of gastric acid suppressive agents and risk of community acquired Clostridium difficile- associated disease. JAMA 2005; 294: 2989-95.

  8. Hay WW Jr., Levin MJ, Sondheimer JM. Current pediatric diagnosis & treatment. 18th Edition. Ed. McGraw-Hill. 2005: 615.

  9. Corvaglia L, Rotatori R, Ferlini M. The effect of body positioning on gastroesophageal reflux in premature infants: evaluation bay combined impedance and pH monitoring. J Pediatrics 2007; 151: 591-6.

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Med Sur. 2008;15