Step-up and step-down approaches to treatment of gastroesophageal reflux disease in children
| العنوان: | Step-up and step-down approaches to treatment of gastroesophageal reflux disease in children |
|---|---|
| المؤلفون: | Eric Hassall |
| المصدر: | Current Gastroenterology Reports. 10:324-331 |
| بيانات النشر: | Springer Science and Business Media LLC, 2008. |
| سنة النشر: | 2008 |
| مصطلحات موضوعية: | Antireflux surgery, medicine.medical_specialty, business.industry, Gastroenterology, Reflux, MEDLINE, Diagnostic test, Proton Pump Inhibitors, General Medicine, Disease, medicine.disease, digestive system diseases, Histamine H2 Antagonists, Internal medicine, Gastroesophageal Reflux, medicine, GERD, Humans, Reflux esophagitis, Medical prescription, Child, business, Intensive care medicine |
| الوصف: | The single biggest change in the approach to treating pediatric gastroesophageal reflux disease (GERD) in recent years has been the empiric use of proton pump inhibitors (PPIs) for symptoms suspected to be those of GERD. In other words, PPIs have been used increasingly as a first-line concurrent diagnostic test and treatment before any investigation. Although this approach is useful for some patients, there are a number of caveats about its application to children. In general, these caveats are related to age per se (eg, infancy) and to age-related symptoms and severity of GERD itself. The most important caveats relate to the prescription of empiric PPI therapy in infants--which generally is to be avoided--and to how PPIs are used in older children--specifically, the advisability of empiric trials being of limited duration. Even in children with proven reflux esophagitis, GERD is not chronic and relapsing in all; thus, trials of therapy withdrawal are warranted. In light of many factors, including the burgeoning literature on potential risks of infections in acid-suppressed children and adults, caution with dose and duration of acid-suppressive drugs in children is urged. The role of antireflux surgery is also mentioned. |
| تدمد: | 1534-312X 1522-8037 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::cb137b974c3ef4ba63362302005b8523 https://doi.org/10.1007/s11894-008-0063-2 |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi.dedup.....cb137b974c3ef4ba63362302005b8523 |
| قاعدة البيانات: | OpenAIRE |
Find this article in full text from Springer Verlag. | تدمد: | 1534312X 15228037 |
|---|