Abstract:Aim
This study estimated follow‐up outcomes for children presenting with troublesome upper gastrointestinal (GI) symptoms in early childhood.
Methods
We identified from our upper endoscopy registry children with undefined GI symptoms having undergone an oesophagogastroduodenoscopy to rule out oesophagitis at a median age of 2.6 years in 2006–2016. We included only those with normal findings. In early 2020, we performed a National Patient Data Repository and Prescription Service review to note patients' current… Show more
“…Typical respiratory systems associated with GERD include pneumonia, cough and asthma. Unfortunately, all these sign/symptoms are also linked with other disorders or might be found in healthy infants (Helin, 2021;Naga, 2020;Rosen, 2014;Sergi, 2020).…”
Section: Introductionmentioning
confidence: 99%
“…Typical respiratory systems associated with GERD include pneumonia, cough and asthma. GERD also cause arching, irritability, failure to thrive related to vomiting, anorexia, esophagitis and gastritis (Helin, 2021;Naga, 2020;Sergi, 2020).…”
Gastro esophageal reflux (GER) is a widespread physiological phenomenon in children. In some children GER may be described as pathological and contribute to respiratory problems such as bronchial asthma and upper respiratory tract. The main objective of this study was to evaluate the presence of Gastro esophageal reflux disease (GERD) in children. Thirty children (up to 6 months of age) suspected with GERD were included in this study. The gastric emptying (SPECT) study was conducted according to predetermine protocol. All patients underwent Tc-99m DTPA gastric imaging for 30 minutes for children. The study was analyzed qualitatively i.e. visual analysis and quantitatively i.e. time activity curve (TAC) and Reflux index percentage (RI %) analysis for the presence of GER. The detection rate of GER in our study was 33% in children. This shows poor diagnoses of physicians because most of the children suffering from vomiting problems were diagnosed GERD but actually they were suffering from asthma and tonsillitis. The diagnosis and treatment of GER is mandatory in children asthma and tonsillitis. Gastric SPECT represents a significant advance in the diagnosis and quantitation of GER. It is one of the simplest radionuclide investigations which can be conducted with least patient inconvenience at a considerable low radiation burden. It can detect GERD with great accuracy even after physiologic neutral pH meal.
“…Typical respiratory systems associated with GERD include pneumonia, cough and asthma. Unfortunately, all these sign/symptoms are also linked with other disorders or might be found in healthy infants (Helin, 2021;Naga, 2020;Rosen, 2014;Sergi, 2020).…”
Section: Introductionmentioning
confidence: 99%
“…Typical respiratory systems associated with GERD include pneumonia, cough and asthma. GERD also cause arching, irritability, failure to thrive related to vomiting, anorexia, esophagitis and gastritis (Helin, 2021;Naga, 2020;Sergi, 2020).…”
Gastro esophageal reflux (GER) is a widespread physiological phenomenon in children. In some children GER may be described as pathological and contribute to respiratory problems such as bronchial asthma and upper respiratory tract. The main objective of this study was to evaluate the presence of Gastro esophageal reflux disease (GERD) in children. Thirty children (up to 6 months of age) suspected with GERD were included in this study. The gastric emptying (SPECT) study was conducted according to predetermine protocol. All patients underwent Tc-99m DTPA gastric imaging for 30 minutes for children. The study was analyzed qualitatively i.e. visual analysis and quantitatively i.e. time activity curve (TAC) and Reflux index percentage (RI %) analysis for the presence of GER. The detection rate of GER in our study was 33% in children. This shows poor diagnoses of physicians because most of the children suffering from vomiting problems were diagnosed GERD but actually they were suffering from asthma and tonsillitis. The diagnosis and treatment of GER is mandatory in children asthma and tonsillitis. Gastric SPECT represents a significant advance in the diagnosis and quantitation of GER. It is one of the simplest radionuclide investigations which can be conducted with least patient inconvenience at a considerable low radiation burden. It can detect GERD with great accuracy even after physiologic neutral pH meal.
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