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Mewling and puking: Infantile gastroesophageal reflux in the 21st century

Authors

  • David Forbes

    Corresponding author
    1. Department of Gastroenterology, Princess Margaret Hospital for Children, Perth, Western Australia, Australia
    • School of Paediatrics and Child Health, University of Western Australia, Perth, Western Australia, Australia
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  • Conflict of interest: None declared.

Correspondence: Professor David Forbes, School of Paediatrics and Child Health, University of Western Australia, GPO Box D184, Perth, WA 6840, Australia. Fax: +0893882097; email: david.forbes@health.wa.gov.au

Abstract

Abstract

Infantile gastroesophageal reflux is challenging because of the difficulties in differentiating normal developmental physiology from disease, the imprecision of diagnostic tests and the paucity of evidence-based therapies for clinicians to implement. Careful clinical assessment is central to avoidance of inappropriate diagnosis and utilisation of ineffective or dangerous therapies, and at the same time, identification of those infants who warrant intervention.

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