Prevalência de refluxo gastroesofágico patológico em lactentes regurgitadores

Abstract

Objective: To determine the prevalence of pathologic gastroesophageal reflux in a group of regurgitant infants attended at Helena Moura Hospital, Recife, State of Pernambuco, Brazil. The clinical criteria employed were based on Rome II criteria. Method:The study design was transversal. The patients were all children of less than 1 year of age with a history of episodes of regurgitation for at least 3 weeks. The study group was comprised of 798 children who attended the program between January and August of 2002. The diagnostic criteria were based on Rome II criteria.Results: The prevalence of pathologic gastroesophageal reflux was 11.15% (89/798) (95% CI 9.10-13.48). It was higher during the first two trimesters of life, 14.62% (31/212) (95% CI 10.33-19.86) in the first trimester, and 13.76% (38/276) (95% CI 10.07-18.21) in the second trimester. Conclusion:The prevalence of pathologic gastroesophageal reflux within the group of children examined concurred with previously published studies, with predominance, therefore, of regurgitant infants.

Refluxo gastroesofágico e deglutição em recém nascidos e lactentes: revisão integrativa da literatura

“…The most mentioned signs/symptoms in the research were the breathing ones 14,15,20,21,[31][32][33] , including oxygen saturation drop, pneumonia, the crying baby syndrome, cyanosis, among others, followed by regurgitation 16,18,31,32,35 and vomiting 18,21,32,33 , confirming another research 2 that cited these ones as being the main clinic signs and symptoms.…”

“…The jeopardized oral and pharyngeal phases of swallowing and feeding difficulties in GERD children was considered only by two studies 14,24 , being one of them published in a journal that covers the area of phonoaudiology and the other, the area of nutrition. However, in an article 24 this relation was not observed in term babies, only in preterm babies relating swallowing difficulty to immaturity.…”

“…The majority of the articles found sought to connect signs and symptoms with GERD verification [14][15][16]22,24,27 and to identify the most sensitive exams to the GERD diagnosis. Another objective, that was also approached, was to study the effect of the postural treatment on the GERD, what proved to be efficient in both medical researches found 13,17 , confirming the literature's findings³.…”

“…There was a diversity of topics in the medical research found, from food thickening¹, corporal posture 13,29 , diagnosis 14,31 , treatments 26,32,35 to exams 15,19,20,22,2 , among others.…”

pH nasofaríngeo e refluxo gastroesofágico em crianças com doença respiratória crônica

“…1 Gastroesophageal reflux (GER) has been suggested as one of the triggers of asthmatic processes. Its prevalence among patients with asthma seems to be variable, with values ranging from 25 to 75%, 2,3 and is subject to controversy.…”