GASTROESOPHAGEAL REFLUX DISEASE IN CHILDREN: CLINICAL VARIATIONS, PROGNOSIS, MAINTAINING OF PATIENTS
Abstract
The aim of the present study is to investigate clinical variations and prognosis of gastroesophageal reflux disease (GERD) in children. 98 children 12-16 years of age were examined. All children underwent esophagogastroduodenoscopy and 24-hour pH-monitoring. A follow-up study was performed during 1 to 5 years. Results: classification of GERD in children has been added, divided into classic, dysplastic, transitory and stressor variations. The data of binary logistic regression revealed factors of poor prognosis: erosive esophagitis, alkaline reflux, insufficient autonomic response, dysplasia of connective tissue. Extended classification gives an opportunity for individual patient maintaining.
About the Authors
Yu. S. Apenchenko
Tver State Medical University
Russian Federation
Russian Federation
P. L. Shcherbakov
Moscow Clinical Scientific Center
Russian Federation
Russian Federation
References
1. Vakil N., van Zanten S. V., Kahrilas P. et al. The Montreal definition and classification of gastroesophageal reflux disease: a global evidence-based consensus // Am J Gastroenterol. 2006. - V.101, № 8. - P. 1900-1920.
2. Лазебник Л. Б., Машарова А. А., Бордин Д. С. и соавт. Многоцентровое исследование «Эпидемиология гастроэзофагеальной рефлюксной болезни в России» (МЭГРЕ): первые итоги // Экспериментальная и клиническая гастроэнтерология. - 2009. - № 6. - С. 4-12.
3. Зернов Н. Г., Сашенкова Т. П., Остроухова И. П. Заболевания пищевода у детей. - М., 1998. - 174 с.
4. Мухаметова Е. М., Эрдес С. И. Гастроэзофагеальная рефлюксная болезнь у детей: эпидемиология, диагностические критерии, прогноз // РЖГГК. - 2010. - № 1. - С. 75-81.
5. Приворотский В. Ф., Луппова Н. Е., Бельмер С. В. и соавт. Рабочий протокол диагностики и лечения гастроэзофагеальной рефлюксной болезни у детей (1-я часть) // Вопросы детской диетологии. - 2015. - № 1. - С. 70-74.
Review
For citations:
Apenchenko Yu.S., Shcherbakov P.L. GASTROESOPHAGEAL REFLUX DISEASE IN CHILDREN: CLINICAL VARIATIONS, PROGNOSIS, MAINTAINING OF PATIENTS. Experimental and Clinical Gastroenterology. 2016;(1):87-90. (In Russ.)
Views:
296
Email this article 