Gastro-oesophageal reflux disease and motility disorders

被引:10
作者
Salvatore, S
Vandenplas, Y
机构
[1] Free Univ Brussels, Acad Ziekenhuis, B-1090 Brussels, Belgium
[2] Univ Insubria, Clin Pediat Varese, Varese, Italy
关键词
gastro-oesophageal reflux; gastro-oesophageal reflux disease; motility disorder; natural course; epidemiology; treatment; side-effects; complications;
D O I
10.1016/S1521-6918(02)00146-4
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Gastro-oesophageal reflux (GOR) is a common phenomenon occurring at any age with a benign prognosis in the majority of cases, but requiring prompt evaluation and treatment when presenting with alarm symptoms or when persisting. Complications of GOR disease (GORD) may be severe. This chapter will discuss the epidemiology, natural course, pathophysiology, clinical presentation, diagnostic and therapeutic approach towards GORD and motility disorders according to different ages. Similarities and differences between infants, children and adults will be highlighted. The superior efficacy and safety of proton pump inhibitors have recently changed the diagnostic and therapeutic recommendations in adults, and possible indications in children are discussed. Only in patients unresponsive to optimal medical treatment are further investigations to exclude other aetiologies for GORD needed (e.g. eosinophilic oesophagitis in infants, scleroderma in adults). Special patient groups such as those with congenital malformations (e.g. oesophageal atresia) are not considered, whereas neurological, respiratory and allergy-affected patients as well as Helicobacter pylori infection are briefly discussed.
引用
收藏
页码:163 / 179
页数:17
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