Gastroesophageal Reflux

Year 2016, Volume: 8 Issue: 2, 57 - 64, 30.03.2016

Doç. Dr. H. Sinan Uslu

Abstract

Abstract

Gastroesophageal reflux (GER) is common in infants. Generally GER is a normal self limitted physiologic process that occurs time to particularly after feedings.Gastroesophageal reflux disease (GERD) is a pathologic condition in infants manifested by irritability, frequent bouts of emesis, poor weight gain, signs of esophagitis, persistent respiratory symptoms and other complications. Conservative management (lifestyle changes, thickened feedings, positioning therapy, limitation of milkand soy foods from a mother's diet, avoid exposing the infant to tobacco smoke) should be tried primarily. Most patients do not require further investigation and pharmacoterapy. Transpyloric feeding and antireflux operations are rarely indicated. Thepurpose this review is to discuss the latest controversies with respect to clinical ma-nifestations, diagnosis, pathophysiology, diagnosis and treatment of GER and GERD in newborn and infants.

Keywords

Gastroesophageal reflux, Gastroesophageal reflux disease, infant

Gastroözefageal Reflü

Abstract

Öz

Gastroözefageal reflü (GÖR) yenidoğanlarda beslenmeden sonra sık görülen vegenellikle kendini sınırlandıran normal bir fizyolojik süreçtir. Gastroözefageal reflü hastalığı (GÖRH) ise yetersiz kilo artışı, huzursuzluk, sık tekrarlayan kusma, özefajit, persiste eden solunum sistemi bulguları ve diğer komplikasyonların eşlik ettiği patolojik bir durumdur. Tedavide öncelikle konservatif yaklaşımlar (yaşam şekli değişiklikleri, kıvamlı beslenme, beslenme sonrası yatış pozisyonları, maternal beslenmeden süt, soya gibi öğelerin çıkarılması, sigaraya maruziyetten korunma) denen-melidir. Birçok hastada ileri tetkike ve farmakolojik tedavi unsurlarına gerek duyulmamaktadır. Transplorik beslenme ve cerrahi tedaviye nadiren başvurulur. Bu derleme yazısında GÖR ve GÖRH’nin yenidoğan dönemindeki klinik bulgu, patofizyoloji, tanı ve tedavisinin güncel bilgiler eşliğinde tartışılması amaçlandı.

Keywords

Gastroözefageal reflü, Gastroözefageal reflü hastalığı, yenidoğan

References

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