TAILIEUCHUNG - GASTROESOPHAGEAL REFLUX DISEASE IN INFANTS, CHILDREN, AND ADOLESCENTS

The survey was conducted in two phases. In the first phase, the survey covered the basic population information and community environment of the sample units, whereas the second involved the knowledge, attitude and practices of women of childbearing age in regards to childbirth, contraception and repro- ductive health, their demands for family planning and services related to daily life and production. In the first phase of the survey, a probability proportional sampling method was adopted to sort out 1041 sample units in 337 counties/ cities/districts across the country. A total of 186 089 persons were registered, of whom 169 687 were permanent residents. In the second phase, 16. | Proceedings GASTROESOPHAGEAL REFLUX DISEASE IN INFANTS CHILDREN AND ADOLESCENTS Benjamin D. Gold MDt ABSTRACT Gastroesophageal reflux disease GERD is one of the most common acid-related disorders in US adults occurring in approximately 20 of individuals according to a survey of residents from Olmsted County Minn. Although GERD is not as well studied in the pediatric population a high percentage of children aged 3 to 7 years have symptoms suggestive of this disease without a history of acute illness or chronic medical o. developmental disabilities. Nearly 15 of adolescents aged 10 to17 years and 25 of children aged 3 to 9 years report symptoms of abdominal pain whether this is GERD or other etiologies is not clear. Among children with developmental disabilities or neurological injury the risk for GERD and other feeding-related difficulties appears to be much higher than tha of the general population. Recent studies demonstrate a high prevalence of significant GeRD in children with asthma. Current treatment options for pediatric GERD include lifestyle changes initially then This article is based on a presentation given by Dr Gold at the PRI-MED East Conference. Associate Professor of Pediatrics and Microbiology Director Division of Pediatric Gastroenterology and Nutrition Department of Pediatrics Emory University School of Medicine Gastroenterology Service Line Chief Egleston Childrens Hospital Children s Healthcare of Atlanta. Address correspondence to Benjamin D. Gold MD Director Division of Pediatric Gastroenterology and Nutrition Department of Pediatrics Emory University School of Medicine 2040 Ridgewood Dr NE Atlanta GA 30322. E-mail ben_gold@. . pharmacologic therapy and in selected cases antireflux surgery. The drugs administered to decma e the symptoms of GERD and to heal ero- ive esophagitis are histamine type-2 receptor antagonists and proton pump inhibitors. After over a decade of use in adults and according to more recent studies published

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