Journal article
Diagnosis and Management of Pediatric Gastroesophageal Reflux in the Emergency Department
Pediatric emergency care, Vol.39(8), pp.629-633
08/01/2023
DOI: 10.1097/PEC.0000000000003006
Abstract
ABSTRACT Gastroesophageal reflux (GER) is a common physiologic occurrence in infants, children, and adolescents and can develop into a pathological process (GERD) with associated complications. Gastroesophageal reflux is reported in approximately 30% of healthy infants, with a peak age of 3 to 4 months and is a common concern from families presenting to the emergency department. Evaluation and diagnosis of GER/GERD is primarily clinical and requires a detailed history, a complete physical examination, and exclusion of more severe extraesophageal pathologies. A high index of suspicion for GERD should be considered in patients with recurrent respiratory symptoms, difficulty with weight gain, and children with medically complex conditions who would be at higher risk for these complications. This review will briefly discuss diagnostic studies for the evaluation of GER/GERD; however, these are not helpful in the acute care setting and should be reserved for evaluation by a subspecialist. Management of GER/GERD includes nonmedication management with reflux precautions and dietary/lifestyle modifications; medication management with proton-pump inhibitors, H2 blockers, antacids, or prokinetics, as well as surgical management for refractory or high-risk cases.
Details
- Title: Subtitle
- Diagnosis and Management of Pediatric Gastroesophageal Reflux in the Emergency Department
- Creators
- Rohan Akhouri - Children's Mercy HospitalAamer Imdad - University of IowaLina Patel - University of Missouri–Kansas City
- Resource Type
- Journal article
- Publication Details
- Pediatric emergency care, Vol.39(8), pp.629-633
- DOI
- 10.1097/PEC.0000000000003006
- eISSN
- 1535-1815
- Language
- English
- Date published
- 08/01/2023
- Academic Unit
- Stead Family Department of Pediatrics; Gastroenterology, Hepatology, Pancreatology, and Nutrition
- Record Identifier
- 9984449559902771
Metrics
5 Record Views