Tounian P
Service de gastroentérologie et nutrition pédiatriques, hôpital Armand-Trousseau, 26 avenue du Dr-Arnold-Netter, Paris cedex 12, France.
Arch Pediatr. 2009 Oct;16(10):1424-8. doi: 10.1016/j.arcped.2009.06.008. Epub 2009 Jul 24.
Although treatment of gastroesophageal reflux is commonly prescribed in pediatrics, an examination of the scientific literature seems worthy. First, this paper develops the treatment options of gastroesophageal reflux and analyses the different studies aimed at demonstrating their efficacy. Evidence-based data are scant either for dietetic and postural advice or drugs prescriptions. Evidence does exist for thickened feeding, some prokinetics and proton pump inhibitors only. Secondly, a treatment strategy based on these data is proposed according to the different situations in current practice. An appraisal of the therapeutic approach of this frequent and mild child's disease appears necessary.
尽管胃食管反流的治疗在儿科中普遍应用，但对相关科学文献进行审视似乎很有必要。首先，本文阐述了胃食管反流的治疗选择，并分析了旨在证明其疗效的不同研究。无论是饮食和体位建议还是药物处方，基于证据的数据都很匮乏。仅在增稠喂养、一些促动力药和质子泵抑制剂方面有证据支持。其次，根据当前实践中的不同情况，基于这些数据提出了一种治疗策略。对这种常见的轻度儿童疾病的治疗方法进行评估似乎是必要的。
