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Fırat Tıp Dergisi
2006, Cilt 11, Sayı 1, Sayfa(lar) 036-039
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Gastroesophageal Reflux Disease and Extraesophageal Complications: Respiratory and Neurologic Presentations
Nimet KABAKUŞ, Abdullah KURT
Fırat Üniversitesi Tıp Fakültesi Çocuk Sağlığı ve Hastalıkları Anabilim Dalı, ELAZIĞ

Objectives: Gastroesophageal feflux (GER) is very common problem during the 1st year of life. In infants, if severe, it may result in failure to thrive, aspiration pneumonia, wheezing, or esophagitis. On rare occasions, GER may be associated with Sandifer Syndrome. In this study, we aimed to present the extraesophageal complications in children with GER disease (GERD).

Materials and Methods: We evaluated nine patients (4 girls, 5 boys) aged between 2-22 years with GERD disease in two groups. In group I, four patients with Sandifer Syndrome and in group II, five patients with respiratory presentations were enrolled.

Results: It was found that whole patients could be diagnosed as GERD late, and in group II this period was longer than in that of group II (p<0.05). Among the patients in both groups, motor reterdation was determined, and their Hb values were the most degree in in both series. At the end of 6- month follow up period, with therapy; (i) whole values of iron deficiency anemia of the patients improved (p<0.005), (ii) the paroxismal attacks of the patients in group I decreased dramatically, (iii) it was determined that the respiratory problems of the patients in both groups improved on a large scale.

Conclusion: The patients with GERD should be examined in terms of extraesophageal findings. The problems that tend to become chronic should be noticed early and specific follow-up/ treatment should be started as early as possible. In this way, patients’ quality of life can be improved. ©2006, Fırat Üniversitesi, Tıp Fakültesi


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