Letters Gastro-oesophageal reflux

Physiological or pathological?

BMJ 2010; 341 doi: https://doi.org/10.1136/bmj.c5155 (Published 22 September 2010) Cite this as: BMJ 2010;341:c5155
  1. Federico Marchetti, clinical paediatrician1,
  2. Gianluca Tornese1,
  3. Alessandro Ventura1
  1. 1Department of Paediatrics, Institute of Child Health, IRCCS Burlo Garofolo, University of Trieste, Via dell’Istria 65/1, 34100 Trieste, Italy
  1. marchetti{at}burlo.trieste.it

    The evidence for using off label drugs in children with gastro-oesophageal reflux is poor.1 However, the first step is to differentiate physiological gastro-oesophageal reflux from pathological gastro-oesophageal reflux disease. Many symptoms commonly attributed to the pathological disease (crying, regurgitation, feeding refusal, wheezing) may more appropriately be …

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