Prevalence and management of gastroesophageal reflux disease in children and adolescents: a nationwide cross-sectional observational study

Abstract

Ten percent of French children and adolescents show GOR symptoms and 6 % have GORD. Clinical presentation and treatment vary in different age groups, but those with GORD are more likely to require pharmacological treatment.

Prevalence and management of gastrointestinal manifestations in Silver–Russell syndrome

“…In our cohort of children with SRS, regurgitations and/or vomiting, the most frequent digestive signs observed before the age of 1 year were twice as frequent as in the French general paediatric population at the same age 22. These signs may contribute to the observed postnatal growth retardation and feeding problems in some children 23.…”

Gastroesophageal Reflux

“…However, epidemiological data suggest that troublesome reflux occurs in about 20 % of the infants and adults, with a drop in prevalence in between [20,21]. French data report a prevalence of GER in 10 % and of GERD in 6 % of all children 0-17 years old [21]. According to data obtained by the Health Improvement Network Incidence, the incidence of GERD in children is 0.84/1000 person-years [20].…”

“…Pediatricians often discuss the tendency to overdiagnose and overtreat reflux-associated symptoms in infants presenting with frequent regurgitation, since epidemiologic data suggest that about 20 % of all infants regurgitate more than four times a day, and that 20 % of the mothers consider this as troublesome [10][11][12]. However, epidemiological data suggest that troublesome reflux occurs in about 20 % of the infants and adults, with a drop in prevalence in between [20,21]. French data report a prevalence of GER in 10 % and of GERD in 6 % of all children 0-17 years old [21].…”

“…However, data from three independent studies suggest acid reflux is actually reduced with cornstarch-thickened formula [108]. A French survey reported a significant ( p < 0.05) greater use of volume reduction or milk thickeners and dorsal positioning in infants with GERD than in infants with physiological GER [21].…”

Influence de la kinésithérapie respiratoire sur le reflux gastro-œsophagien chez l’enfant

“…Chez les enfants, la prévalence est éle-vée et prédominante chez le nourrisson [1] même s'il cause peu ou pas de symptômes [2]. Une hypothèse soulevée dans la littérature mais jamais scientifiquement prouvée voudrait que le RGO puisse être l'origine de problèmes respiratoires chroniques [2].…”