GER30_update.pptVIP

Gastro-esophageal Reflux in Children Less Than 2 Years of Age Definition Passive transfer of gastric contents into the esophagus due to transient or chronic relaxation of the lower esophageal sphincter More Definitions Gastroesophageal reflux (GER) = physiologic reflux GERD = gastroesophageal reflux disease = reflux with complications Dysphagia = difficulty or problems with swallowing Natural History:Children Vs. Adults Birth to 2 years Physiologic, especially 6 months 90% resolve by 12-18 months 2 years to adulthood Vomiting is never physiologic GERD is chronic relapsing disease Normal Dai