| Gastro-oesophageal reflux in children with severe respiratory symptoms--clinical spectrum and management. | |
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MedLine Citation:
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PMID: 10967986 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Respiratory symptoms in children may be associated with underlying gastro-oesophageal reflux (GOR). We reviewed the case notes of 20 children who presented to us from June 1993 to June 1994 with respiratory symptoms and GOR. The patients consisted of 16 Malays, two Chinese and two Indians with equal number of males and females. Their age at diagnosis was less than one year in 17 patients. The earliest age at presentation was at the third day of life. All patients had major respiratory manifestations i.e. recurrent wheezing, recurrent cough and pneumonia. In addition, three patients had stridor and six patients had apparent life threatening episodes (ALTE). Fourteen patients required ventilation because of respiratory failure. Diagnosis of GOR was based on clinical grounds supported by barium oesophagogram in seven patients and ultrasound examination in 11 patients. Eight patients were fundoplicated because of ALTE and recurrent severe bronchospasm. On follow up, 14 patients had hyperactive airways requiring inhaled bronchodilator and steroid therapy. |
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Authors:
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M Z Norzila; B H Azizi; C T Deng; A Zulfikar; P Devadass; A Tai |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The Medical journal of Malaysia Volume: 51 ISSN: 0300-5283 ISO Abbreviation: Med. J. Malaysia Publication Date: 1996 Mar |
Date Detail:
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Created Date: 2000-09-19 Completed Date: 2000-09-19 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0361547 Medline TA: Med J Malaysia Country: MALAYSIA |
Other Details:
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Languages: eng Pagination: 93-8 Citation Subset: IM |
Affiliation:
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Jabatan Pediatrik, Institut Pediatrik, Hospital Kuala Lumpur. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Child Child, Preschool Female Fundoplication Gastroesophageal Reflux / complications*, diagnosis, surgery Humans Infant Male Respiration Disorders / etiology* |
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