Reflux gastro-œsophagien chez l'enfant

P. Molkhou
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Abstract

The clinical manifestations of gastroesophageal reflux (GER) in infancy and childhood include vomiting dysphagia, abdominal pain and substernal pain, oesophagitis and respiratory disorders. Diagnostic approaches consist of history and physical examination, oesophageal pH monitoring, endoscopy, biopsy and sometimes an empiric medical therapy. Treatment options in infancy include prone position, diet change with milk thickening agents, and if necessary with a new formula without cow milk proteins. Lifestyle changes are recommended. In case of oesophagitis, acid suppressor therapy with proton pump inhibitors are used. Prokinetic therapy reduces the frequency of symptoms. Surgical therapy (fundoplication) generally results in favourable outcomes in case of prolonged medical therapy failure.

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小儿胃食管反流
婴幼儿期胃食管反流(GER)的临床表现包括呕吐性吞咽困难、腹痛和胸骨下疼痛、食管炎和呼吸系统疾病。诊断方法包括病史和体格检查、食管pH值监测、内窥镜检查、活检,有时还需要经验性药物治疗。婴儿期的治疗选择包括俯卧位,用牛奶增稠剂改变饮食,必要时使用不含牛奶蛋白的新配方奶粉。建议改变生活方式。在食道炎的情况下,使用质子泵抑制剂进行抑酸治疗。促运动疗法减少了症状出现的频率。在长期药物治疗失败的情况下,手术治疗通常会产生良好的结果。
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Pathologies infectieuses Editorial Board Sténose hypertrophique du pylore Hypersidéroses de l'enfant Malformations congénitales de l'estomac
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