Gastroesophageal reflux in children – news, trends and standards

摘要: BACKGROUND: Most infants who are less than one year old experience episodes of gastroesophageal reflux. In and children with severe symptoms pathologic reflux like difficult oral nutrition, failure to thrive and/or recurrent respiratory infections, has be investigated. METHODS: This article gives an overview history, epidemiology pathophysiology reviews changes in the different diagnostic therapeutic approaches during past decades a focus on clinical impact children. RESULTS: Approximately 60% become free reflux-related within first two years life positioning therapy. If not treated, remainder can present until fourth life, approximately 5% having continuing problems developing pathologies. pediatric patients, golden standard investigation is multichannel intraluminal impedance pH monitoring combined sonography. Preoperatively, upper gastrointestinal contrast studies should performed identify anatomical changes. Due high potential maturation LES, surgery seldom needed life. Still, cases medical therapy or surgical correction required both CONCLUSIONS: Diagnostics must adapted needs young involve as little stress possible. When treatment limited success, laparoscopic fundoplication for GERD