Clinical predictors of pathological gastro‐oesophageal reflux in infants with persistent distress

@article{Heine2006ClinicalPO,
  title={Clinical predictors of pathological gastro‐oesophageal reflux in infants with persistent distress},
  author={Ralf G Heine and Brigid Jordan and Lionel Lubitz and Michele Meehan and Anthony G Catto-Smith},
  journal={Journal of Paediatrics and Child Health},
  year={2006},
  volume={42}
}
Background: Gastro‐oesophageal reflux (GOR) is common in infants with persistent crying. Empirical treatment with antireflux medications is common practice, although on clinical grounds it may be difficult to determine whether GOR is abnormal. 
Mewling and puking: Infantile gastroesophageal reflux in the 21st century
  • D. Forbes
  • Medicine
  • Journal of paediatrics and child health
  • 2013
TLDR
Careful clinical assessment is central to avoidance of inappropriate diagnosis and utilisation of ineffective or dangerous therapies, and at the same time, identification of those infants who warrant intervention. Expand
Management of gastro-oesophageal reflux disease in childhood
TLDR
Treatment of infantile GORD relies on dietary interventions, acid suppressive medications and motility agents, and clinical remission usually occurs between 12 and 18 months of age, and in older children, GORD is likely to persist to adult life. Expand
Ulewanie u niemowląt
TLDR
Regurgitation in healthy infants is a frequent cause of parental anxiety and appropriate conservative management involves thickened formulas, positional treatment or probiotics. Expand
Gastroesophageal Reflux Disease.
TLDR
Although a diagnosis of GERD can largely be based on history and physical alone, endoscopy and pH impedance studies can help make the diagnosis when there in atypical presentation. Expand
Gastroesophageal reflux in infants: more than just a pHenomenon.
TLDR
A strong shift away from acid-suppression therapy in infants has occurred because of the adverse effects, lack of efficacy, and increase of nonacid reflux burden relative to acid burden. Expand
An updated review on gastro-esophageal reflux in pediatrics
TLDR
Overall ‘not much has changed’ in the diagnosis and management of GER and GERD in infants and children in Europe during the last 5 years, pros and cons of multichannel intraluminal impedance have been highlighted. Expand
Gastro-oesophageal reflux: a mixed methods study of infants admitted to hospital in the first 12 months following birth in NSW (2000–2011)
TLDR
A new way of approaching the GOR/GORD issue is proposed that considers the impact of early birth (immaturity), disturbance of the microbiome (caesarean section) and mental health (maternal anxiety in particular). Expand
Thinking outside the box when dealing with patients with GERD and feeding problems.
  • C. Lifschitz
  • Medicine
  • Journal of pediatric gastroenterology and nutrition
  • 2011
TLDR
The study by Karacetin et al attempts to shed some light on the potential association or cause and effect between maternal opment of Children With GERD and feeding difficulty, as well as identifying parents with psychopathologic issues that makes it difficult to handle the child's problem. Expand
Adult and paediatric GERD: diagnosis, phenotypes and avoidance of excess treatments
TLDR
Correct diagnosis and phenotyping of patients with symptoms attributed to gastro-oesophageal reflux through detailed investigations is imperative, leading to improved patient outcomes and rationalized use of available treatment options. Expand
Infant colic: mechanisms and management
TLDR
The definitional entanglement with the Rome IV criteria is delineated as the leading, most recent diagnostic criteria for infant colic, and the evidence for gastrointestinal, psychosocial, microbial and neurogenic factors in the pathogenesis of the condition is explored. Expand
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 36 REFERENCES
Feeding problems in infants with gastro‐oesophageal reflux disease: A controlled study
Objective: Gastro‐oesophageal reflux disease (GORD) in infants is commonly associated with feeding problems but has not been subject to systematic controlled study. We evaluated feeding, dietary,Expand
Role of gastro-oesophageal reflux in infant irritability.
TLDR
It is suggested that pathological GOR is an unlikely cause of infant irritability under the age of 3 months and 'silent' pathological reflux did not occur. Expand
When does reflux oesophagitis occur with gastro‐oesphageal reflux in infants? A clinical and endoscopic study, and correlation with outcome
TLDR
It is concluded that peptic oesophagitis is an often unrecognised important complication of GOR in infants and children which, apart from causing considerable morbidity may adversely affect prognosis. Expand
Correlation of esophageal lengths in children with height: application to the Tuttle test without prior esophageal manometry.
TLDR
Until other methods are devised, this test should be considered in any patient thought to have significant GER and HC1 should be removed from those infants found to have gross GER or from those whose symptoms have been apnea or recurrent pneumonia. Expand
Colic and crying syndromes in infants.
TLDR
Colic may be best viewed as a clinical manifestation of normal emotional development, in which an infant has diminished capacity to regulate crying duration. Expand
Role of food protein intolerance in infants with persistent distress attributed to reflux esophagitis.
TLDR
Treatment with AAF may reduce distressed behavior and symptoms of GER in infants with food protein intolerance in infants who failed to respond to extensively hydrolyzed formula and antireflux medications. Expand
Esophagitis in distressed infants: poor diagnostic agreement between esophageal pH monitoring and histopathologic findings.
TLDR
Abnormal esophageal pH monitoring did not reliably predict esophagitis, suggesting a nonacid peptic cause in some of these infants, including one quarter of infants with persistent distress. Expand
Feeding resistance and gastroesophageal reflux in infancy.
TLDR
The observations suggest that resistance to oral feedings is an uncommon but severe problem associated with GER in infancy, and failure to thrive and the need for fundoplication were significantly more common in the feeding resistance group. Expand
Silent gastro-oesophageal reflux: how much do we miss?
  • I. Booth
  • Medicine
  • Archives of disease in childhood
  • 1992
TLDR
Electroencephalogram patterns during sleep refluxin infants, Gastroenterology 1991;lO1:1007-11 identifies children with respiratory symptoms from gastrooesophageal reflux. Expand
Prevalence of symptoms of gastroesophageal reflux during infancy. A pediatric practice-based survey. Pediatric Practice Research Group.
TLDR
Complaints of regurgitation are common during the first year of life, peaking at 4 months of age, and many infants "outgrow" overt GER by 7 months and most by 1 year. Expand
...
1
2
3
4
...