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Gastroesophageal Reflux in Children pp 165–181Cite as

GOR(D) and Apnoea

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Abstract

Several mechanisms can contribute to respiratory manifestations in patients with gastro-oesophageal reflux (GOR), but pathological and causal relationship is uncommon. In most infants apnoea of short duration is a physiologic phenomenon occurring frequently in relation to an episode of GOR and a protective mechanism to prevent aspiration. Diagnostic gold standard, cut-off values and follow-up data are currently lacking making the relation between GOR or GOR disease and respiratory system difficult to clarify. When compared with pH monitoring, oesophageal impedance with simultaneous polysomnography can better demonstrate the temporal association in selected patients but should be reserved to severe or recurrent otherwise unexplained respiratory events. Empirical treatment for GOR is not recommended due to lack of evidence of efficacy and possible pharmacologically related adverse events.

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Authors and Affiliations

  1. Department of Paediatrics, Ospedale “F. Del Ponte”, Università dell’Insubria, Varese, Italy

    Silvia Salvatore

  2. Department of Paediatrics, UZ Brussel, Vrije Universiteit Brussels, Brussels, Belgium

    Yvan Vandenplas

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  1. Silvia Salvatore
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  2. Yvan Vandenplas
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Correspondence to Silvia Salvatore .

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  1. Universitair Ziekenhuis Brussel, Kidz Health Castle, Brussels, Belgium

    Yvan Vandenplas

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Salvatore, S., Vandenplas, Y. (2017). GOR(D) and Apnoea. In: Vandenplas, Y. (eds) Gastroesophageal Reflux in Children. Springer, Cham. https://doi.org/10.1007/978-3-319-60678-1_12

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