Endgames onExamination Quiz

Gastro-oesophageal reflux disease in children

BMJ 2010; 341 doi: https://doi.org/10.1136/bmj.c5224 (Published 22 September 2010) Cite this as: BMJ 2010;341:c5224

This week’s question is on gastro-oesophageal reflux disease in childrenand is taken from the onExamination revision questions for the MRCS part 1 exam.

Which of the following statements about gastro-oesophageal reflux disease in children is not true?

  • A Can be treated with proton pump inhibitors when refractory to other treatment

  • B Can lead to ulcers related to Barrett’s oesophagus

  • C Can present with croup

  • D Can present with heartburn in younger children

  • E Symptoms usually improve with age

Answers

Answer D is correct.

Infants with gastro-oesophageal reflux usually present with:

  • Failure to thrive

  • Vomiting

  • Recurrent pneumonias.

Older children can present with heartburn, but not younger children (D).

Children with severe oesophagitis may require proton pump inhibitors (A). Chronic gastro-oesophageal reflux can cause ulcers related to Barrett’s oesophagus (B), which can result in metaplasia of the oesophagus. In children with recurrent croup who have no symptoms of infection, gastro-oesophageal reflux should be considered (C).

Symptoms in children usually improve as the tone of the lower oesophageal sphincter improves with age (E).

Notes

Cite this as: BMJ 2010;341:c5224

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