Open AccessDIAGNOSIS AND TREATMENT IN GASTROESOPHAGEAL REFLUX DISEASE – POSSIBILITIES AND LIMITATIONS
Author(s) -
Gabriela Ciubotariu,
Smaranda Diaconescu,
Angelica Cristina Marin,
Claudia Olaru,
Nicoleta Gimiga,
Mihaela Moscalu,
Marin Burlea,
Iași Pharmacy
Publication year - 2016
Publication title -
romanian journal of pediatrics
Language(s) - English
Resource type - Journals
eISSN - 2069-6175
pISSN - 1454-0398
DOI - 10.37897/rjp.2016.3.2
Subject(s) - reflux , gerd , disease , medicine , myotomy , intervention (counseling) , gastroenterology , intensive care medicine , pediatrics , esophagus , achalasia , psychiatry
In children’s first year of life it is mandatory to make a difference between physiological gastroesophageal reflux (GER) and gastroesophageal reflux disease (GERD), in order to avoid an aggressive pharmacologic therapy. All ages of childhood benefit from modern criteria of clinical evaluation, by corroborating the digestive or extra digestive symptoms with the results of modern investigations. The dietary measures (sufficient in GER but mandatory in all cases) together with proton pump inhibitors administration after one year of age induce remission in majority of GER cases. The chronic and recurrent evolution of the disease or failure of the common treatment require surgical intervention, recently enriched in children with peroral endoscopic myotomy (POEM).