TAILIEUCHUNG - Gastroesophageal Reflux Disease in the Pediatric Population

The Ministry of Health and Family Welfare (MoHFW) sponsored district level Rapid Household Surveys, which have facilitated the availability of crucial and basic RCH indicators for all the 504 districts as per the 1991 Census of India. The surveys were conducted all over India during 1998-99 to elicit basic district level RCH indicators for 504 districts as of 1991 census. Proper planning, implementation and monitoring of RCH interventions at the district and sub-district levels in a resource-constrained regime certainly needs prioritization of districts in terms of the assessed needs of RCH services duly emphasized in the NPP-2000 document. Nevertheless, as reproductive health status is multi-dimensional, it is. | Gastroesophageal Reflux Disease in the Pediatric Population A summary of two key2009publications which provide important guidance for the physician in regard to the diagnosis and management of gastroesophageal reflux disease in the pediatric population variety of definitions of GERD and inconsistent nomenclature contributes to A GLOBAL EVIDENCE-BASED CONSENSUS ON THE DEFINITION OF GASTROESOPHAGEAL REFLUX DISEASE IN THE PEDIATRIC POPULATION wide variations inpatient management as well as confusion in interpreting clinical trial literature and employing the available diagnostic tests. Ã Ệ. w l-feafihtxLfe M EiSLSSil iSi- variety of health care providers frequently encounter gastroesophageal reflux disease GERD in the pediatric I age group which includes infants I children and adolescents Yet the SUMMARY OF TH E 2009 PEDIATRIC GASTROESOPHAGEAL REFLUX CLINICAL PRACTICE GUIDELINES1 PURPOSE TNs Ctrnical Practice Guideline Summary was developed to assist the primary and specialist healthcare provider In the evaluation and management of gastroesophageal reflux GER and gastroesophageal reflux disease GERDI in the pediatric age group - infants children and adolescents- The Guidelines are recommendations based on the best available evidence from the literature combined with expert Opinion and were developed using a valdated consensus-based methodology. They were written by a joint committee of experts from the North American and European Societies for Pediatric Gastroenterology I iepatobgy and Nutrition - NASPGHAN and SPGHAN respectively. The recommendations are a general guideline and are not intended as a substitute ter clinical judgment or as a protocol fat the management of all patients with gastroesophageal reflux ex gastroesophageal reflux disease DEFINITIONS Gastroesophageal reflux GER the passage of gastric contents into the esophagus and or mouth with 01 without regurgitation DC vomiting le ejection of contents from the mouth. GER rs a normal . physiologic process

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