1. Traitement du reflux gastro-œsophagien : de l’abstention thérapeutique à la chirurgie
- Author
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Tounian, P.
- Subjects
- *
GASTROESOPHAGEAL reflux in children , *MEDICAL literature , *DRUG prescribing , *DRUG efficacy , *PROTON pump inhibitors , *JUVENILE diseases , *MEDICAL practice , *THERAPEUTICS - Abstract
Abstract: 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. [Copyright &y& Elsevier]
- Published
- 2009
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