| Popis: |
Gastro-oesophageal reflux (GOR) is defined as involuntary (passive) reflux of gastric contents into the oesophagus not caused by noxious stimuli. Gastro-oesophageal reflux disease (GORD) is defined as symptoms and complications arising from gastro-oesophageal reflux. GOR can be considered “physiological” up to 3 months of age, and the reflux (without the disease) may also occur in many individuals during certain physiological processes and normal activities during the day. GORD, however, differs from this variant of normal physiological development, with complications and symptoms that lead to presentation and the need for medical or surgical intervention. Surgery is usually contemplated only in those who have life-threatening or life-altering complications, do not improve on maximal medical management or need continuing medical treatment. The main adverse determinants of outcome seem to be the presence of neurological impairment, the presence of associated congenital anomalies and strictures |
