رؤية جديدة في القلس المعدي المريئي عند الأطفال

الملخص EN

Background& Objective: GERD raises respiratory symptoms and the treatment of anti- GERD improve these symptoms and improve pulmonary function, sometimes GERD silent clinically which makes us unaware of the role of GERD in pathogenesis of respiratory infections which leading to increased incidence of respiratory symptoms in patients with GERD and for this reason we must search for GERD in chronic respiratory infections not responding to treatment.

To determine the prevalence of clinical symptoms associated with GERD in children and to define the role of treatment of anti-GERD in the management of respiratory symptoms in children.

Materials & Methods: Was performed gastro endoscopy and barium X-ray of the gastroesophagus with radial endoscopy in all patients and if the gastro endoscopy was normal, we took biopsy of the bottom of the esophagus.

Patients were distributed into two groups depending "on the evidence of gastro esophageal reflux.

Results: The percent of respiratory symptoms was 95% and the pulmonary X-ray was positive in 53% of them the thing that shows the relationship of respiratory symptoms with GERD.

Patients with weak and light GERD are the total percentage in the group after treatment and observed an improvement in respiratory symptoms in 51 of 76 patients with evidence of GERD (67.10%).

Patients with weak and light and moderate GERD are the total percentage in the group after treatment and observed an improvement in respiratory symptoms in 38 of 92 patients without evidence of GERD (41.30%).

Was observed a statistically significant difference between patients before and after anti-GERD treatment in the group with GERD while did not observe a statistically significant difference between patients before and after anti-GERD treatment in the group without GERD.

Conclusion: Indicated treatment of respiratory symptoms induced GERD with proton pump inhibitors and kinetic factors for one month or with GERD patient intractable to treatment.

The quality diagnostic methods is not necessary in children that have typical symptoms of GERD and the response to treatment of proton pump inhibitors confirm relationship between GERD and respiratory symptoms