Gastroesophageal reflux in infants with persistent/recurrent wheezing – an ultrasonographic study
نویسندگان
چکیده
Literature data suggests an association between gastroesophageal reflux disease and respiratory symptoms as recurrent/persistent wheezing or chronic cough. Objective. The aim of this study was to appreciate the number of the postprandial GER episodes in healthy infants, in infants with persistent/recurrent wheezing and in infants with vomiting Methodology. The study group comprised 132 infants with intermittent vomiting or persistent/recurrent wheezing evaluated through ultrasound exam for assessing numbers of gastroesophageal reflux (GER) episodes during a 10 minutes postprandial examination. A control group of healthy infants was examined for assessing the number of postprandial GER episodes detected at ultrasound exam. Results. Ultrasound exam revealed significant differences between the number of postprandial GER episodes in patients with vomiting compared to patients with recurrent/persistent wheezing or normal infants. There were no differences between the number of postprandial GER episodes in patients with recurrent/persistent wheezing and healthy infants. In conclusion, postprandial GER episodes are more frequent in infants with vomiting compared with healthy infants or those with recurrent/persistent wheezing.
منابع مشابه
Relationship between Silent Gastroesophageal Reflux and Food Sensitization in Infants and Young Children with Recurrent Wheezing
It is known that early childhood wheezing associated with sensitization to allergens, including food, has an increased risk of developing asthma later during school age. Gastroesophageal reflux (GER) is well known to be associated with asthma. The purpose of this study was to determine whether there is an association between silent GER and food sensitization in infants and young children with r...
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OBJECTIVE To define the diagnostic possibilities for young children who present with recurrent wheeze. DATA SOURCES Review of medical literature and 30 years of practice experience. STUDY SELECTION Relevant medical literature. RESULTS When evaluating an infant or child presenting with recurrent respiratory symptoms, several diagnoses must be considered. The workup should include assessmen...
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In some severe recurrent wheezers who do not respond to asthma medication including inhaled corticosteroids, wheezing is caused by gastroesophageal reflux (GER) [1-2]. However, physiological GER is largely recognized in younger children [3] and gastroesophageal reflux disease (GERD) manifests various symptoms other than wheezing [4]. It remains unclear how GER is associated with wheezing. Addit...
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Introduction: Gastroesophageal reflux (GER) is the most common of esophageal disorder in all ages. GER defined as passage of gastric contents into the esophagus, and GER disease (GERD), (symptoms or complications of GER), are common pediatric problems. Clinical manifestations of GERD in infants include regurgitation, irritability, choking, gagging vomiting, poor weight gain and respiratory dis...
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Background and purpose: Wheezing is a common respiratory problem which is related to hypersensitivity of airways, GERD (Gasteroesophageal Reflux Disease) is one of the underlying factors of respiratory diseases and wheezing in infants (different rates). For the patients with refractory wheezing, detection and treatment of underlying disorders is very important. So, in this study, frequency of...
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