TAILIEUCHUNG - Gastroesophageal Reflux Disease (GERD) in Children: From Infancy to Adolescence

Report by the WHO health update (WHO 2004) IN Dafur region of Sudan showed that the main health cancers facing displaced people in Dafur and their host communities include: Malnutrition, acute respiratory infections, diarrhoeal disease, malaria, hepatitis E and conflictreated tarauma. The possibility of outbreaks of communicable diseases is particularly elevated, low standards of environmental hygiene, declining nutritional states, and low vaccination coverage. The essence of this field survey was to assess the adverse health implication on displaced persons, specially on the most vulnerable group (children of ages. | Journal of Medical Sciences 2011 4 1 25-39 Review Article Open Access Gastroesophageal Reflux Disease GERD in Children From Infancy to Adolescence Sulaiman Bharwani Department of Pediatrics UAE University Al Ain UAE Abstract The increased recognition of the difference between the adult and the pediatric populations in terms of the manifestation and the management of gastroesophageal reflux disease GERD owes much to the number and nature of high quality clinical research and drug trials conducted in the past decade. The plethora of choices available to treat GERD is unprecedented. A primary care physician clearly understands the investigative and therapeutic options available and some of the risks associated with them. What makes the physician wary is the absence of a a clear objective definition of gastroesophageal reflux disease GERD in a pediatric population and b sufficient data to support the use of the armamentarium available. The variety of definitions and terms used in the literature to define GERD adds to the confusion and results in a variety of approaches to manage it. In light of the new developments the objective of the review is threefold 1 to simplify as much as possible the current evidence based pediatric literature in defining Correspondence SULAiMaN BHARWANI Department of Pediatrics Faculty of Medicine and Health Sciences UAE University . Box 1 7666 Al Ain UAE Tel 97137137332 Fax 97137672022 E-mail GERD and its common presentations in the three distinct sub-populations of children as newborns and infants 0-12 months toddlers and children 1-10 years and adolescents 11-18 years . These cut-off periods are arbitrary and some overlap is inevitable 2 to review the diagnostic and therapeutic tools available today and 3 to effectively apply these tools and formulate pathways in some case scenarios for the esophageal and extra esophageal GERD manifestation in the three distinct age groups specified above. Keywords .

• Sức khỏe trẻ em
• Progesterone Resistance
• Resistance and Targeting
• Progesterone Receptors
• Therapeutic Approach
• Approach to Endometriosis
• Endometriosis
• Involvement
• Prostaglandins
• Pathophysiology of Endometriosis