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Dysphagia and Gastroesophageal Reflux Disease: Dilemmas in Diagnosis and Management in Children with Neurological Impairment

Rajendu Srivastava, MD, FRCP(C), MPH; W. Daniel Jackson, MD; Douglas C. Barnhart, MD, MPH

  • Pediatric Annals
  • April 2010 - Volume 39 · Issue 4: 225-231
  • DOI: 10.3928/00904481-20100318-07
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Abstract

Dysphagia and gastroesophageal reflux disease (GERD) are common problems for children with neurological impairment (NI). This article highlights their importance, diagnosis, complications, initial management, and guidelines for referral. We propose a conceptual model of how to approach children with NI based on current evidence and guidelines for interventions, including anti-reflux procedures, while the deficits in evidence to guide management are identified as motivation for future research.
AUTHORS

Rajendu Srivastava, MD, FRCP(C), MPH, is Associate Professor of Pediatrics, Division of Inpatient Medicine, University of Utah Health Sciences Center, Salt Lake City. W. Daniel Jackson, MD, is Associate Professor of Pediatrics, Division of Pediatric Gastroenterology, University of Utah Health Sciences Center. Douglas C. Barnhart, MD, MPH, is Associate Professor of Surgery, Division of Pediatric Surgery, University of Utah Health Sciences Center.

Dr. Srivastava, Dr. Jackson, and Dr. Barnhart have disclosed no relevant financial relationships.

Address correspondence to: Rajendu Srivastava, MD, FRCP(C), MPH, Division of Inpatient Medicine, Department of Pediatrics, University of Utah Health Sciences Center, 100 N. Mario Capecchi Drive, Primary Children’s Medical Center, Salt Lake City, UT 84113; fax: 801-662-3664; or e-mail: .raj.srivastava@hsc.utah.edu

doi: 10.3928/00904481-20100318-07

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