Guidelines for evaluation and treatment of gastroesophageal reflux in infants and children: recommendations of the North American Society for Pediatric Gastroenterology and Nutrition.

摘要: Gastroesophageal reflux (GER), defined as passage of gastric contents into the esophagus, and GER disease (GERD), symptoms or complications GER, are common pediatric problems encountered by both primary specialty medical providers. Clinical manifestations GERD in children include vomiting, poor weight gain, dysphagia, abdominal substernal pain, esophagitis respiratory disorders. The Guideline Committee North American Society for Pediatric Gastroenterology Nutrition has formulated a clinical practice guideline management GER. Committee, consisting care pediatrician, two epidemiologists (who also pediatrics) five gastroenterologists, based its recommendations on an integration comprehensive systematic review literature combined with expert opinion. Consensus was achieved through Nominal Group Technique, structured quantitative method. examined value diagnostic tests treatment modalities commonly used GERD, how those interventions can be applied to situations infant older child. provides provider, including evaluation, initial treatment, follow-up indications consultation specialist. gastroenterologist. This document represents official evaluation gastroesophageal infants children. Academy Pediatrics endorsed these recommendations. summarized synopsis within article. general not intended substitute judgment protocol all patients this problem.