Gastro-Esophageal Reflux Disease in Healthy Older Children and Adolescents
박기영, 장수희,
소속 상세정보
박기영 ( Park Kie-Young )
University of Ulsan College of Medicine Gangneung Asan Hospital Department of Pediatrics
장수희 ( Chang Soo-Hee )
Bundang Jesaeng General Hospital Department of Pediatrics
KMID : 0816120120150040220
Abstract
Gastro-esophageal reflux disease (GERD) in otherwise healthy older children and adolescents is commonly encountered in pediatric clinics and poses a complex treatment problem involving changes of diets and lifestyle. After an initial history taking and a physical examination, typical symptoms of GERD in older children and adolescenct are initially treated with the trials of acid suppressants. With an increase of severe cases, more and more GERD children have been evaluated with endoscopy, which helps to delineate an erosive esophagitis from a non-erosive reflux disease as they are presumed to have different pathogenesis. For the pediatric patients without a significant underlying disease, a reflux esophagitis can be treated adequately with acid suppressants. Recently, the rapid increase of children who are taking anti-reflux medication has brought up a serious alarm among pediatricians. Some at risk pediatric patients with recurrent and/or chronic GERD have been linked to adulthood GERD. In this paper, pediatric GERD with and without erosive esophagitis was reviewed along with treatment options and issues specifically for the otherwise healthy older children and adolescents in the primary clinics or the secondary hospitals.
키워드
Gastroesophageal reflux;Child;Adolescents
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