Madrazo de la Garza J A, González Ortiz B
Departamento Gastroenterologia, Hospital de Pediatria, Centro Médico Nacional Siglo XXI, IMSS México, DF.
Rev Gastroenterol Mex. 1994 Apr-Jun;59(2):114-9.
The frequency of gastroesophageal reflux disease in pediatrics has increased. There is not a clear explanation, some believe there is more awareness of the disease, others believe that new formulas, which are richer in nutrients, may irritate the gastrointestinal tract of the infant. Clinically, children present with regurgitation-malnutrition, respiratory disease, and esophagitis. The medical treatment aims to improve the eating techniques, to decrease the gastric acid output, and to improve the motility function of the esophago-gastrointestinal tract. Surgical treatment is rarely needed.
小儿胃食管反流病的发病率有所上升。目前尚无明确解释,一些人认为是对该疾病的认识提高了,另一些人则认为营养更丰富的新配方奶粉可能会刺激婴儿的胃肠道。临床上,儿童表现为反流性营养不良、呼吸系统疾病和食管炎。药物治疗旨在改善进食技巧、减少胃酸分泌以及改善食管胃肠道的动力功能。很少需要手术治疗。