Diagnosis and Management of Gastroesophageal Reflux Disease in Infants and Children: from Guidelines to Clinical Practice

The diagnosis and management of gastro-esophageal reflux (GER) and GER disease (GERD) in infants and children remains a challenge. Published guidelines and position papers, along with Embase, MEDLINE, and the Cochrane Database were reviewed and summarized with the intent to propose a practical appro...

Full description

Saved in:
Bibliographic Details
Published inPediatric gastroenterology, hepatology & nutrition Vol. 22; no. 2; pp. 107 - 121
Main Authors Gonzalez Ayerbe, Jeaneth Indira, Hauser, Bruno, Salvatore, Silvia, Vandenplas, Yvan
Format Journal Article
LanguageKorean
Published 2019
Subjects
Gastroesophageal reflux disease
Esophagitis
pH
Proton pump inhibitors
Gastro-esophageal reflux
Endoscopy
Impedance
Online AccessGet full text

Cover

More Information
Summary:The diagnosis and management of gastro-esophageal reflux (GER) and GER disease (GERD) in infants and children remains a challenge. Published guidelines and position papers, along with Embase, MEDLINE, and the Cochrane Database were reviewed and summarized with the intent to propose a practical approach and management of GER and GERD for healthcare providers and to standardize and improve the quality of care for infants and children. For this purpose, 2 algorithms were developed, 1 for infants <12 months of age and the other for older children. None of the signs and symptoms of GER and GERD are specific and there is no gold standard diagnostic test or tool. Nutritional management is recommended as a first-line approach in infants, while in children, a therapeutic trial with antacid medication is advised for early management. The practical recommendations from this review are intended to optimize the management of GER in infants and older children and reduce the number of investigations and inappropriate use of medication.
Bibliography:KISTI1.1003/JNL.JAKO201912742273333
ISSN:2234-8646
2234-8840