Gastroözofageal reflü hastalığı ve özofagus dışı komplikasyonları: Respiratuar ve nörolojik görünümler

Amaç: Gastroözofageal Reflü(GÖR), yaşamın ilk yılında oldukça sık rastlanan bir sorundur. Reflü şiddetli ise, bebekte gelişme geriliği, aspirayon pnömonisi, hışıltı (wheezing ) ya da özafajit gelişebilir. Nadiren de GÖR , Sandifer Sendromu ile de ilişkilidir. Bu çalışmada amacımız GÖR hastalığı (GÖRH) olan çocuklarda özofagus dışı komplikasyonları araştırmaktır. Gereç ve Yöntem: Yaşları 2-22 ay arasında değişen GÖR tanılı 9 hasta (4kız, 5 erkek) çalışmaya alındı ve iki gruba ayrıldı. Grup 1'de Sandifer Sendromlu dört hasta ve Grup 2'de respiratuar bulguları olan beş hasta vardı. Bulgular: Hastalarda GÖR tanısının geç konulduğu ve grup II'de bu sürenin grupI�e göre daha uzun olduğu bulundu (p

Anahtar Kelimeler:

Gastroözefageal reflü, Süt çocuğu, yenidoğan, Süt çocuğu, Özofagus

Gastroesophageal reflux disease and extraesophageal complications: Respiratory and meurologic presentations

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.

Keywords:

Gastroesophageal Reflux, Infant, Newborn, Infant, Esophagus,

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