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食物过敏婴儿的胃食管反流

Gastroesophageal reflux in infants with food allergy.

作者信息

Kamer B, Chilarski A, Lange A, Piaseczna-Piotrowska A

机构信息

2nd Department of Pediatrics, 2nd Division of Pediatric Clinic, Institude: Polish Mother's Memorial Hospital, ul. Rzgowska 281/289, 93-338 Łódź, Poland.

出版信息

Med Sci Monit. 2000 Mar-Apr;6(2):348-52.

Abstract

The authors present results of studies in a group of 58 children aged 4-36 months in whom food allergy has been diagnosed. Esophageal 24-hour pH-metric studies revealed the presence of gastroesophageal reflux (GER) in 27 cases (46.5%). In 13 cases it was primary and independent of the allergic disease, and in 14 children it showed features of secondary gastroesophageal reflux. Conservative treatment appeared ineffective more frequently in the group of infants with primary reflux (in 23.1% of cases) than in children with secondary reflux and food allergy (in 7.1% of cases). In 4 infants fundoplication according to Nissen was performed.

摘要

作者展示了对一组58名4至36个月大已被诊断患有食物过敏的儿童的研究结果。食管24小时pH值测量研究显示,27例(46.5%)存在胃食管反流(GER)。其中13例为原发性且与过敏性疾病无关,14例儿童表现为继发性胃食管反流。与继发性反流和食物过敏的儿童(7.1%的病例)相比,保守治疗在原发性反流婴儿组(23.1%的病例)中更常显示无效。对4名婴儿进行了Nissen胃底折叠术。

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