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

Type
Academic journal
Author
Journal
The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition Pediatric Gastroenterology, Hepatology & Nutrition Pediatric Gastroenterology, Hepatology & Nutrition 제22권 제2호 KCI Accredited Journals
Published
2019.1
Pages
107 - 121 (15page)

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

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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.

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References (60)

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Vandenplas Y / 2009 / Pediatric gastroesophageal reflux clinical practice guidelines: joint recommendations of the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition (NASPGHAN) and the European Society for Pediatric Gastroenterology, Hepatology, and Nutrition (ESPGHAN) / J Pediatr Gastroenterol Nutr 49:498~547 google schola Rosen R / 2018 / Pediatric gastroesophageal reflux clinical practice guidelines : joint recommendations of the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition and the European Society for Pediatric Gastroenterology, Hepatology, and Nutrition / J Pediatr Gastroenterol Nutr 66:516~554 google schola Gupta SK / 2006 / Presenting symptoms of nonerosive and erosive esophagitis in pediatric patients / Dig Dis Sci 51:858~863 google schola Martigne L / 2012 / Prevalence and management of gastroesophageal reflux disease in children and adolescents : a nationwide cross-sectional observational study / Eur J Pediatr 171:1767~1773 google schola Rasquin A / 2006 / Childhood functional gastrointestinal disorders : child/adolescent / Gastroenterology 130:1527~1537 google schola

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