[Medico-surgical consensus for management of children with gastroesophageal reflux Acapulco, Mexico 2002].
Gastroesophageal reflux (GER) is a common disease in children less one year old. It is present around 10% of unselected infant population. 40-50% have abnormal 24 h pH monitoring. An early diagnosis and treatment should be done in order to avoid complications.


OBJECTIVE
To establish the consensus for the diagnosis and treatment of children with GER, to rule out similar diseases avoid the use of unnecessary drugs and the secondary side effects as well as unnecessary surgery.


METHODS
The consensus was done with the participation of general pediatricians, pediatrics gastroenterologist, pediatric surgeons, radiologist and endoscopist. An initial paper was done by pediatric surgeon and pediatric gastroenterologist who submitted to the rest of participants. Second stage: the paper was review through E-mail for all participants who send their suggestions and modifications. A new paper was done and discussed by medical and surgery area. During the Congress of Pediatric Surgery, in an open session was discuss again with the participation of the main authors and all the audience present. Finally, a paper was done and review for the main authors.
Ramírez Mayans
Jaime Alfonso
JA
Curso de Gastroenterología y Nutrición Pediátrica, Facultad Nacional de Medicina, Universidad Nacional Autónoma de México, México, D.F.
de la Torre Mondragón
Luis
L
Azuara Fernández
Héctor
H
Cervantes Bustamante
Roberto
R
Coran
Arnold G
AG
Berchi
Francisco
F
Cortés Gallo
Gabriel
G
Di Lorenzo
Carlo
C
García Hernández
Carlos
C
López García
Jacobo
J
Langer
Jacob C
JC
Larrosa
Alfredo
A
Maldonado Rays
Jesús
J
Mason Cordero
Thomas J
TJ
Mata Rivera
Norberto
N
Méndez Nieto
Carlos
C
Aceves
Reynaldo de Jesús Michel
Rde J
Michel
Pedro Luis
PL
Monterrey Bermúdez
Guillermo
G
Mora Tiscareño
María Antonieta
MA
Ordorica Flores
Ricardo
R
Ortega Salgado
José Arturo
JA
Reynés Manzur
José
J
Saitúa
Francisco
F
Urquidi Rivera
Martha
M
Uscanga Vicarte
Víctor
V
Vandenplas
Yván
Y
Worona Dibner
Liliana
L
Zárate Mondragón
Flora
F
D002648:Child; D005764:Gastroesophageal Reflux / Q000175:diagnosis / Q000628:therapy*; D006801:Humans; D008800:Mexico; D017410:Practice Guidelines as Topic