| GERD or not GERD: the fussy infant. | |
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MedLine Citation:
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PMID: 19399014 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A global evidence-based consensus has defined gastroesophageal reflux disease (GERD) as 'a condition, which develops when the reflux of stomach contents causes troublesome symptoms and/or complications.' The manifestations of GERD can be divided into esophageal and extraesophageal syndromes, and include vomiting, poor weight gain, dysphagia, abdominal or substernal/retrosternal pain, esophagitis and respiratory disorders. The extraesophageal syndromes have been divided into established and proposed associations: established would include cough, laryngitis, asthma and dental erosion ascribable to reflux, whereas proposed associations would include pharyngitis, sinusitis, idiopathic pulmonary fibrosis and recurrent otitis media. Uninvestigated patients with esophageal symptoms without evidence of esophageal injury would be considered to have asymptomatic esophageal syndromes, whereas those with demonstrable injury are considered to have esophageal syndromes with esophageal injury. Therefore, this allows symptoms to define the disease but permits further characterization if mucosal injury is found. Within the syndromes with associated injury are reflux esophagitis, stricture, Barrett's esophagitis and adenocarcinoma. This review will address definitions of GER and GERD-associated symptoms and treatment options. |
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Authors:
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J Bhatia; A Parish |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Journal of perinatology : official journal of the California Perinatal Association Volume: 29 Suppl 2 ISSN: 1476-5543 ISO Abbreviation: J Perinatol Publication Date: 2009 May |
Date Detail:
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Created Date: 2009-04-28 Completed Date: 2009-08-04 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8501884 Medline TA: J Perinatol Country: United States |
Other Details:
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Languages: eng Pagination: S7-11 Citation Subset: IM |
Affiliation:
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Department of Pediatrics, Section of Neonatology, The Medical College of Georgia, Augusta, GA 30912, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Biopsy Crying* Diagnosis, Differential Esophagitis, Peptic / complications, diagnosis* Esophagus / pathology Gastroesophageal Reflux / complications, diagnosis* Humans Infant Infant Behavior* Infant, Newborn |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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