[tri-med] FYI - Diagnosis and management of gastro-oesophageal reflux

I am forwarding this article or URL for your information (FYI) as I believe
it may be of interest and is from a reliable source. As always, check the
information with your own doctor or health care professional before starting
or changing any treatments.

http://www.harcourt-international.com/journals/cupe/previous.cfm?art=cupe.20
01.0197
Current Paediatrics

Tables of Contents and Abstracts Online

Issue Contents
Diagnosis and management of gastro-oesophageal reflux

R. M. Beattie

p 269-275, Volume 11, Number 4, August 2001

Abstract


Gastro-oesophageal reflux (GOR) represents a considerable disease spectrum
with a range of severity from an intermittent nuisance to life-threatening
disease. Gastro-oesophageal reflux disease implies significant morbidity
from the reflux. Children with GOR disease require investigation and
consideration of the differential diagnosis. Children with respiratory
disease are particularly prone to reflux and the presentation may be
atypical. The different investigations and treatment regimes are discussed.
The pH study is considered a gold standard but will miss alkaline reflux.
The withdrawal of cisapride has resulted in the earlier use of
acid-suppressing drugs, particularly proton pump inhibitors. Some children
may benefit from a change in milk. Surgery is indicated in children in whom
medical management has failed. Copyright 2001 Harcourt Publishers Ltd.

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