Abstract
Normal Gastroesophageal reflux is passage of physiological gastric contents in to the esophagus. It is common in infants and children with 60-65% undergoing spontaneous regression. Gastro esophageal reflux disease occurs due to various pathologies. We present to you 3 cases of GER in children along with their presentation and management.
Highlights
Normal reflux is passage of physiological gastric contents in to the esophagus
We would like to discuss[3] cases who presented at various ages and with different presentations: 2.1 Case No 1 6 weeks old male child who presented with recurrent vomiting and severe respiratory distress since birth
In Fundoplication, the gastric fundus is wrapped around the distal esophagus, It prevents reflux by increasing baseline pressure of the lower esophageal sphincter, decreasingthe number of transient lower esophageal sphincter relaxations, and increasing the length of the esophagus that is intra-abdominal to accentuate the angle of His and reduce a hiatal Hernia
Summary
Normal reflux is passage of physiological gastric contents in to the esophagus. It is very common in infants and children. 60-65% undergoes spontaneous regression or resolution of symptoms by 2 years of age, regardless of any medical management. Pathological GER/GER disease occurs due to pathological effects of involuntary passage of gastric contents in to the esophagus, due to incompetence of Anti-reflux Barriers, which exist between the lower esophagus and the stomach. The presentations fall under the following categories: 1. Apparent life threatening events – Sudden Infant Death Syndrome (SIDS) 4.
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