Scribd Logo
Upload

Welcome to Scribd!

  • 15 views

    Scenario: A 12 Month Old Infant Was Brought To OPD With History of Recurrent Vomiting

    Uploaded by

    Ay
    An infant was brought to the clinic with recurrent vomiting. Gastroesophageal reflux disease (GERD) occurs when gastric contents frequently flow back (reflux) from the stomach into the esophagus. In infants, GERD is usually due to immature lower esophageal sphincter and transient lower esophageal sphincter relaxations. Medical management includes thickening feeds and medications while surgical fundoplication may be considered for severe cases with complications.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd

    Scenario: A 12 Month Old Infant Was Brought To OPD With History of Recurrent Vomiting

    Uploaded by

    Ay
    15 views11 pages
    An infant was brought to the clinic with recurrent vomiting. Gastroesophageal reflux disease (GERD) occurs when gastric contents frequently flow back (reflux) from the stomach into the esophagus. In infants, GERD is usually due to immature lower esophageal sphincter and transient lower esophageal sphincter relaxations. Medical management includes thickening feeds and medications while surgical fundoplication may be considered for severe cases with complications.

    Original Description:

    Original Title

    GERD.pptx

    Copyright

    © © All Rights Reserved

    Available Formats

    PPTX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    An infant was brought to the clinic with recurrent vomiting. Gastroesophageal reflux disease (GERD) occurs when gastric contents frequently flow back (reflux) from the stomach into the esophagus. In infants, GERD is usually due to immature lower esophageal sphincter and transient lower esophageal sphincter relaxations. Medical management includes thickening feeds and medications while surgical fundoplication may be considered for severe cases with complications.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    15 views11 pages

    Scenario: A 12 Month Old Infant Was Brought To OPD With History of Recurrent Vomiting

    Uploaded by

    Ay
    An infant was brought to the clinic with recurrent vomiting. Gastroesophageal reflux disease (GERD) occurs when gastric contents frequently flow back (reflux) from the stomach into the esophagus. In infants, GERD is usually due to immature lower esophageal sphincter and transient lower esophageal sphincter relaxations. Medical management includes thickening feeds and medications while surgical fundoplication may be considered for severe cases with complications.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 11

    SCENARIO

    A 12 month old infant was brought to OPD with history of recurrent


    vomiting
    Gastroesophageal Reflux Disease

     By

    Taleea Younas
    Aleena Nazar
    GERD

     It is increased exposure of esophagus to gastric and duodenal


    secretions.
     It’s a normal process in infants and becomes a problem when its
    recurrent or causes pathological symptoms eg of esophagitis or
    respiratory problems or nutritional compromise
     85 percent of premature infant have GERD
    PATHOPGYSIOLOGY
     Main factors that contribute to GERD are:

     Liquid Diet
     Supine Position
     Short esophagus
     Small non-compliant stomach
     Frequent large volume feeding
     Immature LES
     Transient LES Relaxation
    CLINICAL FEATURES

     Most common symptoms are of esophageal pathology like esophagitis


    such as:
     Irrataibility
     Arching
     Choking
     Gagging
    CLINICAL FEATURE

     Extra Esophageal symptoms can be of respiratory system


    like:
     In Infancy Obstructive apnea, stridor or Lower airway
    disease
     In older children symptoms are related to asthma,
    laryngitis, sinusitis
    COMPLICATIONS
     Failure to thrive
     Esophagitis with hematemesis
     Anemia
     Esophageal Stricture
     Aspiration Pneumoniae
     Chronic cough
     Wheezing
     Dysphagia
     Dental erosions
     Sandifer syndrome
    DIAGNOSIS

     Barium Swallow
     Esophageal pH monitoring
     Upper GIT series
     Esophageal Impedance Monitoring
     Endoscopy
    MANAGMENT
     Conservative Treatment:

     Erect Posture and start on solid food


     Frequent small feedings thickened with rice cereal (2-3
    TSF/oz of milk)
     Burp more frequently
     Stick to a regular feeding schedule
     Keep the baby away from smoke
     Avoid chocolates and beverages
    Medical Treatment

     Omeprazole
     Metoclopramide
     Ranitidine
    Surgical Treatment

     Indicated in:
     Persistent vomiting with failure to thrive
     Esophagitis or esophageal sphincter
     Apneic spells
     Chronic pulmonary disease

     Surgical option is Fundoplication with


    Gastrostomy

    You might also like