Calderón JAG

Language: Spanish
References: 11
Page: 53-57
PDF size: 335.31 Kb.

ABSTRACT

The prevalence of Gastroesophagic Reflux Disease (GERD) has been increasing worldwide and it is the most frecuent gastrointestinal disorder [2]. Heartburn and regurgitation are the most common symptoms that pacients present [3]. Manifestations have to be well recognized by the doctor and make the diferente between gastroesophagic reflux (GER) and GERD to make the correct decision of the treatment [4]. GER and GERD are common conditions in children that bring economic and health problems for parents and society, more likely for incorrect diagnostics and inadecuate use of drugs [7]. The first line therapy in GER and GERD are lifestyle changes and is the indicated in patients with uncomplicated physiologic reflux [4]. Medical treatment is based in acid supression [3]. The proton pump inhibitors therapy is the most safety and effective drug therapy and it is used in children that recquire medication because of the symptoms and they beneficiate a lot [2].

REFERENCES

1. Aceti A, Corvaglia L, Paoletti V, et al. Protein Content and Fortification of Human Milk Influence Gastroesophageal Reflux in Preterm Infants. Journal of Pediatric Gastroenterology and Nutrition 2009; 49: 613-618

2. Armstrong D, Sifrim D. New Pharmacologic Approaches in Gastroesophageal Reflux Disease. Gastroenterol Clin N Am 2010;

3. Estores A. Symptom Predictitability in Gastroesophageal Reflux Disease and Role of Proton Pump Inhibitor Test. Gastroenterol Clin N Am 2014; 43: 27-38.

4. Lightdale J, Gremse D. Gastroesophageal Reflux: Pediatrics 2013; 131: e1684- e1693.

5. Loots C, Kritas S. Van Wijk M, et al. Body Positioning and Medical Therapy for Infantile Gastroesophageal Reflux Symptoms/ Journal of Pediatric Gatroenterology and Nutrition 2014; 59 (2): 237-243.

6. Omari T, Haslam R, Lundborg P, Davidson G. Effect of Omeprazole on Acid Gastroesophageall Reflux and Gastric Acidity in Preterm Infants With Pathological Acid Reflux. Journal of Pediatric Gastroenterology and Nutrition 2007; 44: 41-44.

7. Quintano P, Papadopoulou A, et al. European Pediatricians Approach to Children With GER Symptoms: Survey of the Implementation of 2009 NASPGHAN-ESPGHAN Guidelines. Journal of Pediatric Gastroenterology and Nutrition 2014; 58 (4): 505-509.

8. Thakkar K, Boatright R, Gilger m, El-Serag h. Gastroesophageal Reflux and Asthma in Children: A Systematic Review. Pediatrics 2010; 125: e925-e934.

9. Vadlamudi N, Hitch M, Dimmitt R, Thame K. Baclofen for the Treatment of Pediatric GERD: Journal of Pediatric Gastroenterology and Nutrition 2013; 57(6): 808-812.

10. Van Der Pol R, Smits M, Van Wijk M, Omari T, Merit M, Benninga M. Efficacy of Proton- Pump Inhibitors in Children With Gastroesophageal Reflux Disease: A Systematic Review. Pediatrics 2011; 127 (5): 925-934.

11. Vela M. Medical Treatment of GERD The Old and New. Gastroenterol Clin N Am 2014; 43: 121-133.