Document Detail

Gastro-oesophageal reflux and gastrooesophageal reflux disease in infants and children.
MedLine Citation:
PMID:  21158357     Owner:  NLM     Status:  MEDLINE    
Gastro-oesophageal reflux (GOR) is a norma physiological process occurring daily in healthy infants with similar frequency in both breast- and bottle-fed infants. It is generally considered uncomplicated and self-limiting, resolving spontaneously by 12-14 months of age. In contrast, gastro-oesophageal reflux disease (GORD) is associated with more severe symptoms and, on occasions, oesophagitis. In the small percentage of cases that do not respond to simple feeding measures, a trial for 2-4 weeks using an extensively hydrolysed formula may be considered. Thickeners and antiregurgitation feeds may help with the frequency of overt regurgitation. Feeding difficulties can be a problem in infants with reflux, with some suffering extreme aversion to texture. In the small percentage of infants who experience faltering growth, high-calorie formulae can be used. In those with severe feeding difficulties or severe faltering growth, tube feeding may be required. Infants should ideally be managed within a multidisciplinary team including a speech and language therapist, psychologist, dietitian and paediatrician.
Jackie Falconer
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The journal of family health care     Volume:  20     ISSN:  1474-9114     ISO Abbreviation:  J Fam Health Care     Publication Date:  2010  
Date Detail:
Created Date:  2010-12-16     Completed Date:  2011-01-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101142028     Medline TA:  J Fam Health Care     Country:  England    
Other Details:
Languages:  eng     Pagination:  175-7; quiz 178     Citation Subset:  N    
Chelsea and Westminster Hospital NHS Foundation Trust.
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MeSH Terms
Diagnosis, Differential
Enteral Nutrition
Gastroesophageal Reflux / diagnosis*,  etiology,  therapy*
Infant Care / methods*
Infant Food
Milk Hypersensitivity / diagnosis
Nursing Assessment
Parents / education,  psychology
Patient Care Team
Pediatric Nursing / methods
Severity of Illness Index
Sudden Infant Death / epidemiology,  etiology,  prevention & control

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