Severijnen R S, van der Staak F H, van der Zee D C, Festen C
Kinderchirurgisch Centrum Nijmegen, St. Radboud Ziekenhuis.
Tijdschr Kindergeneeskd. 1987 Aug;55(4):146-9.
Gastro-oesophageal reflux (GER) in children, causes sometimes aspecific symptoms in children. Not only in the case of regurgitation but also in respiratory problems or even in the 'near missed' - Sudden Infant Death Syndrome GER is to be considered. The most important method of investigation is pH-monitoring during 24 hours preceded by a barium meal and followed by endoscopy, in most cases. Operative treatment is necessary for a hiatal hernia, or after failure of conservative treatment of an oesophagitis. In mentally retarded children, who continue to vomit, a fundoplication can be necessary to improve general care.
儿童胃食管反流（GER）有时会引发一些非特异性症状。不仅在反流的情况下，而且在出现呼吸问题甚至是“疑似”——婴儿猝死综合征时，都应考虑GER。最重要的检查方法是在进行钡餐检查后、内镜检查前，多数情况下进行24小时pH监测。对于食管裂孔疝或食管炎保守治疗失败后，手术治疗是必要的。对于持续呕吐的智障儿童，可能需要进行胃底折叠术以改善整体护理。
