Gastro-oesophageal reflux disease in childrenBMJ 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
Answer D is correct.
Infants with gastro-oesophageal reflux usually present with:
Failure to thrive
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).
For a free “question of the day” from onExamination, relevant to the MRCS part 1 exam, go to http://www.onexamination.com/surgery/mrcs-part-1/question-of-the-day.
Cite this as: BMJ 2010;341:c5224