GERD and Pediatric Dysphagia: Our New Research Study Accepted at the 2008 NASPGHAN conference!
Posted Sep 22 2008 12:00am
We are presenting our newest research in San Diego this November at the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition convention. Here is our abstract and some very compelling research!
The Prevalence of Dysphagia in Infantile GERD Mark Fishbein, MD, Christina Branham, MD, Laura Walbert, CCC/SLP, CLC, Sibyl Cox, RD, LD, CLC, Jenny Mollerud, CCC/SLP, Cheri Fraker, CCC/SLP, CLC
Introduction: Infantile GERD has been linked to feeding disorders with symptoms including feeding aversion, feeding refusal, and arching. Dysphagia, a co-morbidity of infantile GERD, may possess similar symptoms but is often unrecognized. In this investigation, the prevalence of dysphagia in infantile GERD was investigated in referrals to a pediatric GI practice.
Conclusion: Dysphagia is featured prominently in infantile GERD. In this referral population, over one half of subjects underwent feeding evaluation with approximate 80% abnormalities and one quarter underwent VFSS with approximate 90% abnormalities. Risk factors for severe dysphagia include underweight and developmental delay. Antireflux medications are not protective for dysphagia. Greater vigilance is recommended to identify dysphagia in infantile reflux.