Gastroesophageal reflux as cause of chronic respiratory symptoms

Indian Journal of Pediatrics
Hamid Reza Foroutan, Masomeh Ghafari

Abstract

Gastroesophageal reflux (GER) is a relatively common disorder in infants and children. It maybe associated with severe complications. The coexistence of GER and a wide range of respiratory symptoms has been reported. The purpose of our study was to investigate the relationship between chronic respiratory symptoms and GERD as an underlying cause. To our knowledge, there is not a method known study for identifying this relationship and prevalence in our area. The study group consists of fifty-two (4 months-10 years) children who were referred to pediatric surgery ward for evaluation of GERD as a cause of chronic respiratory symptoms by 24 hours PH monitoring. Additionally, 10 patients with only one episode of pneumonia were evaluated as the control group. Chronic respiratory presentations include the following: chronic cough, recurrent pneumonia, asthma, and respiratory distress. 24 hour esophageal PH monitoring revealed GER in 22 (42.2%) patients as a cause of their chronic respiratory symptoms, while (30 (57.7%) children did not show any evidence of GER. GER was detected in 11 of 24 (45.7%) patients with chronic cough. Thirty-three patients presented with recurrent pneumonia, 13 (39.9%) of whom had GER. In 8 patients with asthm...Continue Reading

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Citations

Mar 12, 2008·Clinical Reviews in Allergy & Immunology·Eric J BorenM Eric Gershwin
Jul 3, 2010·Journal of Tropical Pediatrics·Soumya PatraMadhvi Tripathi
Dec 12, 2002·Current Opinion in Pulmonary Medicine·Susan M Harding
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Mar 1, 2006·BMC Pediatrics·Anne B ChangPeter J Lewindon
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Dec 4, 2010·Best Practice & Research. Clinical Gastroenterology·Y C Chua, Qasim Aziz
Oct 23, 2010·Pediatric Pulmonology·Soumya PatraMadhvi Tripathi
Nov 22, 2007·Journal of Pediatric Gastroenterology and Nutrition·Susan R Orenstein, Eric Hassall
Nov 22, 2007·Journal of Pediatric Gastroenterology and Nutrition·John J BarronJoseph Singer
Oct 16, 2004·Expert Review of Anti-infective Therapy·Ioanna M Velissariou, Dimitris A Kafetzis

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