Jolley S G
Department of Surgery, Sunrise Hospital and Medical Center, University Medical Center of Southern Nevada, Las Vegas, USA.
Semin Pediatr Surg. 1995 Aug;4(3):176-89.
Vomiting is a very common symptom associated with gastroesophageal reflux disease (GERD) in infancy, although no longer the most common symptom seen in infants with GERD. A thorough evaluation of these patients with clinical history, physical examination, and sophisticated diagnostic procedures is necessary to identify that the vomiting is from GERD. Extended esophageal pH monitoring is the most reliable diagnostic procedure used to confirm the presence or absence of GERD, and provides additional information regarding prognosis and the relationship of the GERD to respiratory complaints. The latter information allows the clinician to determine the optimal type of antireflux therapy offered to the vomiting infant with GERD. Reevaluation of the vomiting infant with suspected recurrent GERD after antireflux operation should not differ from the evaluation performed in an untreated infant with vomiting from suspected GERD.
呕吐是婴儿胃食管反流病（GERD）的一种非常常见的症状，尽管它已不再是GERD婴儿中最常见的症状。对这些患者进行全面评估，包括临床病史、体格检查和精密的诊断程序，对于确定呕吐是否由GERD引起是必要的。延长食管pH监测是用于确认GERD是否存在的最可靠的诊断程序，并提供有关预后以及GERD与呼吸道症状关系的额外信息。后一项信息使临床医生能够确定为患有GERD的呕吐婴儿提供的抗反流治疗的最佳类型。抗反流手术后对疑似复发性GERD的呕吐婴儿进行重新评估，应与对疑似GERD呕吐的未经治疗婴儿进行的评估无异。
