Journal
PEDIATRIC CLINICS OF NORTH AMERICA
Volume 64, Issue 3, Pages 487-+Publisher
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.pcl.2017.01.003
Keywords
Gastroesophageal reflux; Endoscopy; Impedance; Proton pump inhibitors; Lifestyle changes; Extraesophageal symptoms; Pediatrics
Categories
Funding
- NIDDK NIH HHS [T32 DK007202] Funding Source: Medline
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Gastroesophageal reflux (GER) is a normal physiologic process. It is important to distinguish GER from GER disease (GERD) since GER does not require treatment. Although a diagnosis of GERD can largely be based on history and physical alone, endoscopy and pH impedance studies can help make the diagnosis when there in atypical presentation. In children and adolescents, lifestyle changes and acid suppression are first-line treatments for GERD. In infants, acid suppression is not effective, but a trial of hydrolyzed formula can be considered, as milk protein sensitivity can be difficult to differentiate from GER symptoms.
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