Beltrán BF, Villegas AF

Language: Spanish
References: 19
Page: 196-200
PDF size: 44.90 Kb.

ABSTRACT

This paper proposes the hypothesis that gastroesophageal reflux in children and in adults is the same disease. This idea is based on the fact that symptoms and both medical and surgical treatment are similar at any age. Furthermore it is substantiated on a survey of 2,304 individuals of every age focused on the presence of GERD. It showed that the percentage of patients afflicted was similar: it ranged between 23 percent and 26 percent for children, adults and old individuals. For adolescents and young adults it was difficult to estimate the percentage of GERD patients. The possible explanation for this could be: a) The patients may have had GERD at an early age but they overcame it owing to an adjustment of their organism resulting in an apparent complete healing. b) Patients may suffer some or several mild GERD symptoms which they consider unimportant or even deny they exist. The problem reappears in adults because of the presence of risk factors related to unhealthy habits and life style: smoking, excessive use of alcoholic beverages, heavy evening meals, sedentary life, obesity, etc. Emphasis is placed on the need of acknowledging the importance of this disease from the time of its appearance during early infancy; of the value of performing tests to substantiate the existence of the problem; on the value of the support of the family in the management of the disease; on the suggestion that this condition be included in the vaccination records. It is proposed that a publication for the general public be distributed indicating the nature of this pathology and the adequate preventive measures thereof.

REFERENCES

1. Beltrán BF. Cirugía Pediátrica. Ed. Med Hosp Infant Mex 1969

2. Espino Vela J, Navarrete F, Espinosa M. Cor pulmonale en el niño. Acta Pediatr Mex 1991;12:301-15

3. Beltrán BF, Catalán JL, Jaime CM. El reflujo gastroesofágico en el niño. Fisiología, clínica, diagnóstico y tratamiento. Rev Mex Pediatr 1999;66:161-8

4. Carré FJ. The natural history of the partial thoracic stomach in children. Arch Dis Child 1959;34:340-4

5. {Dysphagia} Dysphagia question on dysphagia and Ehlers Danlos syndrome. http/www.list.dysphagia.com 2002 html

6. Kearns GL, Anderson T, James LP, Gaedigk A. Omeprazole disposition in children. J Clin Pharmacol 2003;5:25-40

7. Gibbens TE, Gold BD. The use of proton pump inhibitors in children. A comprehensive review. Pediatr Drugs 2003;5:25-40 www.ncbi.nlm.nih.gov

8. What’s new. Proton pump inhibitors in pediatrics. Pediatr Rev 2003;24:12-5 www.nebi.nlm.nih.gov

9. Marcheti F, Gerardlunzi T, Ventura A. Proton pump inhibitors in children. A review. 2003;35:738-46 www.nebi.nlm.nih.gov

10. Allison PR. Reflux esophagitis. Sliding herniae and the anatomy of repair. Surg Gyencol Obstetr 1951;92:419-28

11. Beltrán BF, Catalán LJ, Menéndez González JA, Jaime Calderón ME, Himmelman GM, Bierzwinski A. Reflujo gastroesofágico en niños y adultos familiars. Acta Pediatr Mex 1997;18:124-8

12. Beltrán BF, Villegas AF, Catalán LJ, et al. ¿Es el reflujo gastroesofágico el mismo padecimiento que se inicia en la infancia? Acta Pediatr Mex 1999;20:10-4

13. Orenstein RS, Klein HA, Rosenthal MS. Scintigraphic images for quantifying pediatric gastroesophageal reflux. J Nucl Med 1993;34:1228-34

14. Spechler SJ, Ahnen D, Ramírez F, et al. Long-term outcome of medical and surgical therapies for GERD. Follow-up of a randomized controlled trial. JAMA 2001; :285-8

15. Manzano C. Comunicación personal. 2003

16. Jung DA. Gastroesphageal reflux in infants and children. Am Fam Phys 2001;64:1-11

17. Heidelgaugh JJ, Nostrant TT, Kin C, Van Harrison R. Management of gastroesophageal reflux disease. Am Fam Phys 2003;68:1-8

18. Tutuain R, Castal OD. Fisiopatología del RGE, factores gástricos. Pract Gastroenterol 2004;11:21-7

19. Bohmer RD, Roberts RH, Utley RJ. Open Nissen funduplication and highly selective vagotomy as a treatment for gastro-oesophageal reflux disease. Aust N Z Surg 2000;70:22-5