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Park KY, Chang SH. Gastro-esophageal reflux disease in healthy older children and adolescents. Pediatr Gastroenterol Hepatol Nutr. 2012;15(4):220-8doi: 10.5223/pghn.2012.15.4.220.
Park, K. Y., & Chang, S. H. (2012). Gastro-esophageal reflux disease in healthy older children and adolescents. Pediatric gastroenterology, hepatology & nutrition, 15(4), 220-8. https://doi.org/10.5223/pghn.2012.15.4.220
Park, Kie Young, and Chang, Soo Hee. "Gastro-esophageal reflux disease in healthy older children and adolescents." Pediatric gastroenterology, hepatology & nutrition vol. 15,4 (2012): 220-8. doi: https://doi.org/10.5223/pghn.2012.15.4.220
Park KY, Chang SH. Gastro-esophageal reflux disease in healthy older children and adolescents. Pediatr Gastroenterol Hepatol Nutr. 2012 Dec;15(4):220-8. doi: 10.5223/pghn.2012.15.4.220. Epub 2012 Dec 31. PMID: 24010091; PMCID: PMC3746054.
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Pediatr Gastroenterol Hepatol Nutr. 2012 Dec;15(4):220-8. doi: 10.5223/pghn.2012.15.4.220. Epub 2012 Dec 31.

Gastro-esophageal reflux disease in healthy older children and adolescents.

Pediatric gastroenterology, hepatology & nutrition

Kie Young Park, Soo Hee Chang

Affiliations

  1. Department of Pediatrics, Gangneung Asan Hospital, College of Medicine, Ulsan University, Gangneung, Korea.

PMID: 24010091 PMCID: PMC3746054 DOI: 10.5223/pghn.2012.15.4.220

Abstract

Gastro-esophageal reflux disease (GERD) in otherwise healthy older children and adolescents is commonly encountered in pediatric clinics and poses a complex treatment problem involving changes of diets and lifestyle. After an initial history taking and a physical examination, typical symptoms of GERD in older children and adolescenct are initially treated with the trials of acid suppressants. With an increase of severe cases, more and more GERD children have been evaluated with endoscopy, which helps to delineate an erosive esophagitis from a non-erosive reflux disease as they are presumed to have different pathogenesis. For the pediatric patients without a significant underlying disease, a reflux esophagitis can be treated adequately with acid suppressants. Recently, the rapid increase of children who are taking anti-reflux medication has brought up a serious alarm among pediatricians. Some at risk pediatric patients with recurrent and/or chronic GERD have been linked to adulthood GERD. In this paper, pediatric GERD with and without erosive esophagitis was reviewed along with treatment options and issues specifically for the otherwise healthy older children and adolescents in the primary clinics or the secondary hospitals.

Keywords: Adolescents; Child; Gastroesophageal reflux

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