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详细

Regurgitations are one of the most common symptoms in children during the first months of life. They may have a functional origin or be a manifestation of organic pathology primarily gastroesophageal reflux disease (GERD). Functional regurgitation is a reflection of the adaptation of the gastrointestinal tract of the child and is not accompanied by other pathological conditions. GERD is characterized by a greater persistence of regurgitation, inadequate weight gain, often respiratory symptoms. GERD diagnosis should be confirmed by daily pH-metry and detection of esophagitis. The mainstay of treatment of functional regurgitation includes modifying the diet, the use of formulas with thickeners, and positional therapy. GERD is indication for the drug therapy - prokinetics and antisecretory drugs.

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作者简介

E. Kornienko

Email: elenkornienk@yandex.ru

参考

  1. Шабалов Н.П., Корниенко Е.А. Заболевания желудочно-кишечного тракта. В кн.: Неонатология / Под ред. Н.П. Шабалова. М., 2004; 2: 301-51.
  2. Rome III. The Functional Gastrointestinal Disorders. doi: 10.1053/j.gastro.2005.11.065.
  3. Дубровская М.И., Корниенко Е.А., Луппова Н.Е. Заболевания пищевода. Педиатрия. Национальное руководство, краткое издание / Под ред. А.А. Баранова. М., 2013. С. 337-51.
  4. Корниенко Е.А., Филюшкина Е.И., Насыров Р.А., Антонов П.В. Этиология хронических эзофагитов у детей. Медицинский Совет. 2013; 1: 84-7.
  5. Pediatric Gastroesophageal Reflux Clinical Practice Guidelines: Joint Recommendation of the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition (NASPGHAN) and the European Society for Pediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN). J. Pediatr. Gastroenterol. Nutr. 2009; 40(4): 498-547.

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