Gastroesophegeal Reflux and Gastritis

What this episode covers

<br /> In this episode of PEM Currents: The Pediatric Emergency Medicine Podcast, I explore the complexities of gastroesophageal reflux (GER) and gastritis in children and adolescents. I&#8217;ll make the important distinction between gastritis &#8211; which is diagnosed only via endoscopy &#8211; and dyspepsia, the term best used to describe the symptoms many patients experience. I&#8217;ll dive into the latest clinical practice guidelines and discuss evidence-based approaches to diagnosis and treatment.<br /> <br /> <br /> <br /> Topics covered include:<br /> <br /> <br /> <br /> <br /> * The pathophysiology of GER and GERD in the pediatric population.<br /> <br /> <br /> <br /> * Understanding dyspepsia and its clinical presentation.<br /> <br /> <br /> <br /> * Diagnostic strategies and when to consider further evaluation.<br /> <br /> <br /> <br /> * The role of lifestyle and dietary modifications in management.<br /> <br /> <br /> <br /> * Pharmacological interventions, including the use of proton pump inhibitors (PPIs), H2 blockers, and antacids.<br /> <br /> <br /> <br /> * Current controversies and updates in pharmacological treatments.<br /> <br /> <br /> <br /> * Management of gastritis and the consideration of Helicobacter pylori infection.<br /> <br /> <br /> <br /> <br /> Join me as I scope out the nuances of gastroesophageal reflux and gastritis and provide practical insights for clinicians in the emergency setting.<br /> <br /> <br /> <br /> <a href="http://www.pwmblog.com" target="_blank" rel="noreferrer noopener">PEMBlog</a><br /> <br /> <br /> <br /> <a href="http://twitter.com/PEMTweets">@PEMTweets on&#8230; sigh &#8220;X&#8221; (Twitter)</a><br /> <br /> <br /> <br /> <a href="https://www.instagram.com/bradsobolewski/" target="_blank" rel="noreferrer noopener">My Instagram</a><br /> <br /> <br /> <br /> <a href="https://med-mastodon.com/@bradsobo" target="_blank" rel="noreferrer noopener">My Mastodon account @bradsobo</a><br /> <br /> <br /> <br /> References<br /> <br /> <br /> <br /> Rosen R, Vandenplas Y, Singendonk M, et al. Pediatric Gastroesophageal Reflux Clinical Practice Guidelines: Joint Recommendations of the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition and the European Society for Pediatric Gastroenterology, Hepatology, and Nutrition. J Pediatr Gastroenterol Nutr. 2018;66(3):516-554. doi: <a href="https://doi.org/10.1097/MPG.0000000000001889">10.1097/MPG.0000000000001889</a><br /> <br /> <br /> <br /> Lightdale JR, Gremse DA; Section on Gastroenterology, Hepatology, and Nutrition. Gastroesophageal Reflux: Management Guidance for the Pediatrician. Pediatrics. 2013;131(5):e1684-1695. doi: <a href="https://doi.org/10.1542/peds.2013-0421">10.1542/peds.2013-0421</a><br /> <br /> <br /> <br /> Tighe M, Afzal NA, Bevan A, et al. Pharmacological Treatment of Children with Gastro-oesophageal Reflux. Cochrane Database Syst Rev. 2014;2014(11):CD008550. doi: <a href="https://doi.org/10.1002/14651858.CD008550.pub2">10.1002/14651858.CD008550.pub2</a><br /> <br /> <br /> <br /> Sintusek P, Mutalib M, Thapar N. Gastroesophageal Reflux Disease in Children: What’s New Right Now? World J Gastrointest Endosc. 2023;15(3):84-102. doi: <a href="https://doi.org/10.4253/wjge.v15.i3.84">10.