Open AccessReflux-associated respiratory syndrome in children: a survey of algorithms in medical practice
Author(s) -
С И Барденикова,
Барденикова Светлана Ивановна,
N K Shumeyko,
Шумейко Наталья Константиновна,
O. V. Zaytseva,
Зайцева Ольга Витальевна,
S Yu Snitko,
Снитко Светлана Юрьевна,
Е. А. Мельникова,
Мельникова Елена Андреевна,
Е. В. Куликова,
Куликова Елена Вильевна,
O.B. Dovgun,
Довгун Оксана Борисовна
Publication year - 2018
Publication title -
rossijskij allergologičeskij žurnal
Language(s) - English
Resource type - Journals
eISSN - 2686-682X
pISSN - 1810-8830
DOI - 10.36691/rja127
Subject(s) - pulmonology , medicine , asthma , gerd , comorbidity , etiology , pediatrics , algorithm , national health and nutrition examination survey , bronchitis , disease , intensive care medicine , physical therapy , reflux , population , environmental health , computer science
Purpose. Based on the clinical analysis of the course of BOS with GER, rational diagnostic algorithms are available in practical medicine. Materials and methods. The study included BOS children examined in the pulmonology department of the DGKB St. Vladimir in 2010-2017 years: patients with asthma (annually from 850 to 1000) and children with obstructive bronchitis (annually from 122 to 400). General clinical, laboratory, serological, instrumental studies were conducted. In cases of insufficient control of asthma and recurrent (or prolonged) BOS esophagogastroduodenofibroscopy and radiopaque examination of the esophagus was performed for revealing GER. Results. The mutual risks of weighting the symptoms of combined asthma with GERD in children are discussed. Attention is focused on the peculiarities of complaints, history and the status of patients with BOS in combination with comorbid diseases. Pulmonology department statistics data demonstrate the growing need for gastroenterological research. The rational algorithms for examination of BOS patients for the detection of GERD are discussed. Conclusion. Due to the high frequency of GER in patients with bronchial asthma and its influence on disease control, a comprehensive study of its symptoms is necessary. The presence of recurrent BOS, ETN comorbidity, night cough demands to exclude the role of GER in etiology of respiratory disorders.