RT Journal Article
SR Electronic
T1 Gastro-oesophageal reflux in young babies: who should be treated?
JF Archives of Disease in Childhood
JO Arch Dis Child
FD BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health
SP 989
OP 993
DO 10.1136/archdischild-2014-306232
VO 100
IS 10
A1 John W Puntis
YR 2015
UL http://adc.bmj.com/content/100/10/989.abstract
AB Recent guidelines focus on a non-interventionist approach to management of gastro-oesophageal reflux in infancy and emphasise the importance of explanation, reassurance and simple measures such as attention to feeding. Relying on clinical history alone leads to over diagnosis of disease, and widely used medications are often ineffective for symptom relief and carry significant risk of harm. The association between vomiting in infancy and other problems such as crying and poor feeding should not be interpreted as implying causality. When there are strong pointers to underlying gastro-oesophageal reflux disease, invasive investigations are required in order to formulate appropriate intervention.