Update on Gastroesophageal Reflux and Respiratory Disease in Children

Pediatric respiratory diseases have been linked to gastroesophageal reflux disease (GERD), but evidence regarding the association and its potential mechanisms continues to accumulate, and important aspects remain to be determined. Evidence for the association in two common pediatric respiratory diso...

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Main Author: Susan R Orenstein
Format: Article
Language:English
Published: Wiley 2000-01-01
Series:Canadian Journal of Gastroenterology
Online Access:http://dx.doi.org/10.1155/2000/918745
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author Susan R Orenstein
author_facet Susan R Orenstein
author_sort Susan R Orenstein
collection DOAJ
description Pediatric respiratory diseases have been linked to gastroesophageal reflux disease (GERD), but evidence regarding the association and its potential mechanisms continues to accumulate, and important aspects remain to be determined. Evidence for the association in two common pediatric respiratory disorders - infantile apnea and asthma in older children - and difficult clinical issues associated with the diagnosis and treatment of these two disorders are reviewed. The provocative embryological and physiological connections between the upper gastrointestinal tract and the respiratory tract, and recent understanding of the compensatory anatomy and physiology that protect the normal individual from respiratory manifestations of GERD are also explored. Dysfunctions of these protections likely underlie the pathophysiology of these disorders.
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spelling doaj-art-3f2c629b688140bdb390a12d7be388932025-02-03T06:01:33ZengWileyCanadian Journal of Gastroenterology0835-79002000-01-0114213113510.1155/2000/918745Update on Gastroesophageal Reflux and Respiratory Disease in ChildrenSusan R Orenstein0Division of Pediatric Gastroenterology, University of Pittsburgh School of Medicine and Children’s Hospital of Pittsburgh, Pittsburgh, Pennsylvania, USAPediatric respiratory diseases have been linked to gastroesophageal reflux disease (GERD), but evidence regarding the association and its potential mechanisms continues to accumulate, and important aspects remain to be determined. Evidence for the association in two common pediatric respiratory disorders - infantile apnea and asthma in older children - and difficult clinical issues associated with the diagnosis and treatment of these two disorders are reviewed. The provocative embryological and physiological connections between the upper gastrointestinal tract and the respiratory tract, and recent understanding of the compensatory anatomy and physiology that protect the normal individual from respiratory manifestations of GERD are also explored. Dysfunctions of these protections likely underlie the pathophysiology of these disorders.http://dx.doi.org/10.1155/2000/918745
spellingShingle Susan R Orenstein
Update on Gastroesophageal Reflux and Respiratory Disease in Children
Canadian Journal of Gastroenterology
title Update on Gastroesophageal Reflux and Respiratory Disease in Children
title_full Update on Gastroesophageal Reflux and Respiratory Disease in Children
title_fullStr Update on Gastroesophageal Reflux and Respiratory Disease in Children
title_full_unstemmed Update on Gastroesophageal Reflux and Respiratory Disease in Children
title_short Update on Gastroesophageal Reflux and Respiratory Disease in Children
title_sort update on gastroesophageal reflux and respiratory disease in children
url http://dx.doi.org/10.1155/2000/918745
work_keys_str_mv AT susanrorenstein updateongastroesophagealrefluxandrespiratorydiseaseinchildren