ENFERMEDAD REFLUJO GASTROESOFAGICO PEDIATRIA PDF

Retardo del vaciamiento gбstrico. Cuadro clнnico del RGE En lactantes el principal sнntoma de RGE es el vуmito, pero tambiйn se puede manifestar por rechazo alimentario, mal incremento ponderal y signos y sнntomas de esofagitis, como hiperextensiуn del cuello, llanto incesante por mбs de dos horas, anormal en lactantes de seis meses o disfagia. Otras manifestaciones del RGE en lactantes son la laringitis por reflujo y el sнndrome de Sandifer, que se caracteriza por contracciones tуnicas con tendencia a opistуtonos, debido a la hiperextensiуn del cuello, que pueden simular equivalentes convulsivos y se asocian a esofagitis importante Fig. Figura 2. Sнndrome de Sandifer.

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Anti-H2: Antagonistas de los receptores de histamina Barrera antirreflujo. En este sentido se ha visto que tanto los pacientes con ERE como aquellos con ERNE tienen disminuidos los valores de impedancia basal comparados con los controles sanos.

En un trabajo realizado en EE. Esto permite evaluar en el mismo estudio la respuesta a IBP. Pirosis funcional. De esto surge que cambiar de IBP es una estrategia razonable en pacientes con respuesta insuficiente. El tipo de test por lo tanto se elige en base a la probabilidad pretest de reflujo. Por lo tanto, en este grupo de pacientes pueden suspenderse los IBP.

Por otro lado, un test positivo ofrece evidencia objetiva de reflujo, pero no provee evidencia del mecanismo de la refractariedad del mismo. Un monitoreo de reflujo negativo obliga a descartar otras causas distintas a la ERGE.

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Dig Dis Sci ; Impedance baseline and reflux perception in responder and non-responder non-erosive reflux disease patients. Scand J Gastroenterol ; Neurogastroenterol Motil ; —e Salis G.

Prevalence, clinical spectrum and atypical symptoms of gastro-oesophageal reflux in Argentina: a nationwide population-based study. El Serag HB. Original article: Update on the epidemiology of gastro-oesophageal reflux disease: a systematic review.

Nationwide epidemiological study. Gastroenterology ; AA Francis D. Insights into gastroesophageal reflux disease-associated dyspeptic symptoms. Clin Gastroenterol Hepatol ; 9: Can the clinical history distinguish between organic and functional dyspepsia?

JAMA ; Gastroesophageal reflux. Pathogenesis, diagnosis, and therapy. Endoscopic assessment of oesophagitis: clinical and functional correlates and further validation of the Los Angeles classification. Arch Pathol Lab Med ; Hirano I, Richter JE. ACG practice guidelines: esophageal reflux testing.

Sleep-related gastro-oesophageal reflux: provocation with a late evening meal and treatment with acid suppression. N Engl J Med ; Laparoscopic revision of vertical banded gastroplasty to Roux-en-Y gastric bypass: outcomes of patients. Surg Obes Relat Dis ; 7: Meta-analysis: the effects of placebo treatment on gastro-oesophageal reflux disease. Labenz J, Malfertheiner P. World J Gastroenterol ; Short-term treatment with proton pump inhibitors, H2-receptor antagonists and prokinetics for gastro-oesophageal reflux disease-like symptoms and endoscopy negative reflux disease.

Clin Gastroenterol Hepatol ; 4: Clin Gastroenterol and Hepatol ; Long-term effect of H2RA therapy on nocturnal gastric acid breakthrough. Champion MC. Can J Gastroenterol ; 55BB. Rao AS, Camilleri M. Review article: metoclopramide and tardive dyskinesia. Domperidone, metoclopramide, and placebo. All give symptomatic improvement in gastroesophageal reflux. J Clin Gastroenterol ; 8: J Gastrointest Surg ; Garg SK.

Laparoscopic fundoplication surgery versus medical management for gastro-oesophageal reflux disease GORD in adults. Ganz RA. A research agenda for gastrointestinal and endoscopic surgery. Surg Endosc ; Vitamin B 12 deficiency is linked with long-term use of proton pump inhibitors in institutionalized older adults: could a cyanocobalamin nasal spray be beneficial?

J Nutr Elder ; Sheen E, Triadafilopoulos G. Adverse effects of long-term proton pump inhibitor therapy. Adverse effects of proton pump inhibitors. Best Pract Res Clin Gastroenterol ; Bavishi C, Dupont HL. Systematic review: the use of proton pump inhibitors and increased susceptibility to enteric infection.

Use of acid-suppressive drugs and risk of pneumonia: a systematic review and meta-analysis. CMAJ ; Meta-analysis: proton pump inhibitor use and the risk of community-acquired pneumonia. A meta-analysis. Expert Rev Clin Pharmacol ; 5: Risk of community-acquired pneumonia in veteran patients to whom proton pump inhibitors were dispensed. Clin Infect Dis ; Impact of proton pump inhibitors on the antiplatelet effects of clopidogrel.

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