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GERD and Dysphagia

  • Nathalie Rommel
  • Gigi Veereman
Chapter

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.

Keywords

Dysphagia Gastroesophageal reflux Children 

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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Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  1. 1.Department of Neurosciences, Experimental Otorhinologyngology, DeglutologyUniversity of LeuvenLeuvenBelgium
  2. 2.Department of Gastroenterology, Neurogastroenterology, and MotilityUniversity Hospitals LeuvenLeuvenBelgium
  3. 3.Pediatric Gastroenterology and NutritionUZ Brussels, Free University BrusselsBrusselsBelgium

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