Resultados de Búsqueda

Choosing Wisely Netherlands Campaign

Dutch Association of Pediatrics -Dutch OMS Association - ZonMw

Drug therapy should be evaluated after 2-4 weeks. The dosage may be adjusted after evaluation. If the prescribed medication is not having the desired effect, another drug may be prescribed.

For further information please visit the website of the initiative (link below)

Choosing Wisely Netherlands Campaign

Dutch Association of Pediatrics -Dutch OMS Association - ZonMw

Reflux is a normal physiological phenomenon that occurs several times a day in healthy infants, children and adults. There is a difference in the therapeutic approach for infants (aged 0 to 18 months) and for older children (aged 18 months to 18 years). Guiding principle is that drug therapy for reflux disease is only an option in exceptional cases (if one or more red-flag symptoms are present) for a period of three months. In such cases, treat younger children with ranitidine or PPIs and treat ...

Choosing Wisely Netherlands Campaign

Dutch Association of Pediatrics -Dutch OMS Association - ZonMw

Due to low sensitivity and specificity, it is better not to use X-rays to diagnose reflux disease. X-rays can be used to exclude anatomical abnormalities that have the same symptoms as reflux disease, such as malrotation and volvulus (twisting). An X-ray and gastroscopy are always required before an anti-reflux operation.

For further information please visit the website of the initiative (link below)

Choosing Wisely Netherlands Campaign

Dutch Association of Pediatrics -Dutch OMS Association - ZonMw

In infants with reflux symptoms, diagnosis can usually be made based on a comprehensive medical history and physical examination. PH-metry (to measure the efficacyof gastric acid inhibitors) can be a good test for children who are unable to communicate their symptoms clearly. PH-metry can also help confirming the diagnosis in adolescents with therapy-resistant reflux disease.

For further information please visit the website of the initiative (link below)

Choosing Wisely Netherlands Campaign

Dutch Association of Pediatrics -Dutch OMS Association - ZonMw

Gastroesophageal reflux (GER) is the passive movement of gastric contents into the esophagus. GERD is defined as GER causing troublesome symptoms and complications. Gastroscopy should not be performed to confirm the diagnosis, unless: • red-flag symptoms (such as failure to thrive) are present that could indicate a cause other than GERD, such as eosinophilic esophagitis (chronic inflammation of the esophagus); • surgery is required after drug therapy has failed; • patient is suffering ...