Reflux vomiting

Vomiting may occur by regurgitation of stomach contents due to gastroesophageal reflux, the backflow of stomach contents from the stomach to the esophagus. Vomiting may also result from the activation of an automatic vomiting response called the emetic reflex. Reflux vomiting is common in young infa...

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Bibliographic Details
Published in:Archives of disease in childhood 1990-09, Vol.65 (9), p.996-999
Main Author: Milla, P J
Format: Article
Language:English
Subjects:
Biological and medical sciences
Care and treatment
Causes of
Child, Preschool
Children
Diagnosis
Esophagogastric Junction - physiopathology
Esophagus
Esophagus - physiopathology
Gastroenterology. Liver. Pancreas. Abdomen
Gastroesophageal Reflux - complications
Gastroesophageal Reflux - physiopathology
Gastroesophageal reflux in children
Humans
Infant
Infant, Newborn
Medical sciences
Other diseases. Semiology
Pediatric gastroesophageal reflux
Pediatrics
Vomiting
Vomiting - etiology
Vomiting - physiopathology
Vomiting in children
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Summary:Vomiting may occur by regurgitation of stomach contents due to gastroesophageal reflux, the backflow of stomach contents from the stomach to the esophagus. Vomiting may also result from the activation of an automatic vomiting response called the emetic reflex. Reflux vomiting is common in young infants, and if serious, may cause failure to thrive, inflammation of the esophagus, and various blood and respiratory complications. One study showed that reflux vomiting stops in most children by 18 months of age, but may continue in 30 percent of children until four years of age. The prevalence and incidence of complications of reflux vomiting are not known. The anatomy and physiology of the esophagus and lower esophageal sphincter, a circular muscle that controls the movement of food and fluids between the esophagus and stomach, are described. In addition, the mechanisms of gastroesophageal reflux are discussed. The procedure for testing a child suspected of having gastroesophageal reflux involves assessment for: the presence and severity of gastroesophageal reflux; the presence of complications; and the occurrence of underlying disease that may be causing the gastroesophageal reflux. Reflux vomiting can be controlled by various techniques including positioning, thickening of feeds, medications, and surgery. (Consumer Summary produced by Reliance Medical Information, Inc.)
ISSN:0003-9888
1468-2044
DOI:10.1136/adc.65.9.996