[Gastroesophageal reflux treatment: from therapeutic abstention to surgery].
Although treatment of gastroesophageal reflux is commonly prescribed in pediatrics, an examination of the scientific literature seems worthy. First, this paper develops the treatment options of gastroesophageal reflux and analyses the different studies aimed at demonstrating their efficacy. Evidence-based data are scant either for dietetic and postural advice or drugs prescriptions. Evidence does exist for thickened feeding, some prokinetics and proton pump inhibitors only. Secondly, a treatment strategy based on these data is proposed according to the different situations in current practice. An appraisal of the therapeutic approach of this frequent and mild child's disease appears necessary.
Tounian
P
P
Service de gastroentérologie et nutrition pédiatriques, hôpital Armand-Trousseau, 26 avenue du Dr-Arnold-Netter, Paris cedex 12, France. p.tounian@trs.aphp.fr
D002648:Child; D003663:Decision Trees; D005764:Gastroesophageal Reflux / Q000188:drug therapy / Q000601:surgery / Q000628:therapy*; D006635:Histamine H2 Antagonists / Q000627:therapeutic use; D006801:Humans; D054328:Proton Pump Inhibitors / Q000627:therapeutic use
D006635:Histamine H2 Antagonists; D054328:Proton Pump Inhibitors