Abstract
Dysphagia describes any type of difficulty with feeding and swallowing and was recently classified by the World Health Organization in the International Statistical Classification of Diseases and Related Health Problems (ICD). However, there is no specific pediatric definition. Dysphagia has age-specific presentations in children: in the youngest it manifests itself by food refusal, whereas older children are able to describe their swallowing difficulties. Gastroesophageal reflux disease (GERD) was demonstrated in 53% of young children with feeding difficulties and should always be excluded or treated appropriately when documented. Advanced manometry techniques have revealed causes of dysphagia other than GERD. Oropharyngeal or esophageal dysfunction can now be demonstrated even in infants and young children. Understanding the underlying physiopathology of dysphagia leads to targeted treatment.
This chapter aims at guiding the clinician to identify the symptoms and underlying pathophysiology of dysphagia in infants and children with GERD.
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Abbreviations
- EGJ:
-
Esophagogastric junction
- GERD:
-
Gastroesophageal reflux disease
- HRM:
-
High-resolution manometry
- ICD:
-
International Classification of Diseases
- UES:
-
Upper esophageal sphincter
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Rommel, N., Veereman, G. (2017). GERD and Dysphagia. In: Vandenplas, Y. (eds) Gastroesophageal Reflux in Children. Springer, Cham. https://doi.org/10.1007/978-3-319-60678-1_10
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DOI: https://doi.org/10.1007/978-3-319-60678-1_10
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