Conţinutul numărului revistei |
Articolul precedent |
Articolul urmator |
1461 25 |
Ultima descărcare din IBN: 2023-11-18 10:15 |
Căutarea după subiecte similare conform CZU |
616.32/.33-053.2-07-036.22-08 (1) |
Заболевания пищеварительной системы. Болезнь пищеварительного тракта (1698) |
SM ISO690:2012 CAZAN, Corina, NEAMŢU, Mihai-Leonida, DOBROTĂ, Luminiţa, NEAMŢU, Mihai-Bogdan. Refluxul gastroesofagian la copil – criterii de diagnostic şi principii de terapie. In: Buletin de Perinatologie, 2017, nr. 1(73), pp. 16-21. ISSN 1810-5289. |
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Buletin de Perinatologie | |||||
Numărul 1(73) / 2017 / ISSN 1810-5289 | |||||
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CZU: 616.32/.33-053.2-07-036.22-08 | |||||
Pag. 16-21 | |||||
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Rezumat | |||||
Gastroesophageal reflux is defined as the passage of stomach contents into the esophagus with or without accompanied regurgitation and vomiting. The distinction between this physiologic gastroesophageal reflux and gastroesophageal reflux disease (GERD) in infancy and childhood is determined by the number and severity of reflux episodes and most importantly by the presence of reflux-related complications, including failure to thrive, erosive esophagitis, esophageal stricture and chronic respiratory disease.The causes and risk factors for gastroesophageal reflux in children are frequently multifactorial.Children who are at high risk of having GERD are those who are neurologically impaired. The diagnoses of gastroesophageal reflux and GERD are based primarily on the history and physical examination. Diagnostic tests, such pH monitoring, endoscopy, radiologic studies, multiple intraluminal impedanceare reserved for atypical symptoms, warning signs, complications, to exclude other diagnoses or treatment failure. Non-invasive diagnostic methods include electrogastrographic and ultrasonographic quantification techniques. Non-pharmacological therapy in infants include body position changes, lower-volume feedings, thickening agents and antiregurgitant formula. Lifestyle changes to treat reflux in children and adolescents include sleeping position changes, avoiding smoking, alcohol and late evening meals. Histamine H2 receptor antagonists and proton pump inhibitors are the principal medical therapies for GERD. Surgical treatment should be considered only when medical therapy is unsuccessful.In light of the new developments, the aim of this article was to discuss the epidemiology, pathogenesis, clinical features, current diagnosis, therapeutic strategy and clinical practice recommendations in the gastroesophageal reflux disease in children. |
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Cuvinte-cheie refl ux gastroesofagian, recomandări de practică clinică, diagnostic |
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