Refluks Gastroesofageal pada Anak
Abstract: This article
discusses Gastroesophageal Reflux
(GER), an entry
of gastric content
into esophagus with more than once regurgitation a day, which often
happens to a four-month-old child. The main cause of GER is the imperfection of
both the tonus muscle of the lower esophageal sphincter and the length of esophagus. The
diagnosis of GER
can be made
by clinical examinations
as well as
laboratory and radiology tests,
which may result
in different kinds
of GER: hiatus
hernia, achalasia, hypertrophy congenital of
pyloric stenosis, duodenal
atresia, meconium ileus.
The therapy of
GER can be
a) non-pharmacological, e.g. by
raising the child’s head to be higher than its body position; no more feeding 2
hours before the child sleeps; avoiding food that can trigger GER; giving no
milk by the child’s sleeping time; b) pharmacological, e.g. by giving antacid,
prokinetic medicine, histamine receptor H2 antagonist, and inhibitor pump
proton; and c) surgical, which should be the last choice.
Penulis: Bambang Hernowo Rusli
Kode Jurnal: jpkedokterandd100042
