Reflujo gastroesofagico en el recién nacido manejo clínico en la atención primaria.

Abstract

Gastroesophageal reflux is the retrograde movement of gastric contents from the stomach into the esophagus, with or without vomiting. The most common clinical feature of GER in newborn is postprandial regurgitation. These episodes of reflux will often decrease as the newborn approaches one year of age. In general, the newborn will have no apparent symptoms other than uncomplicated regurgitation, appearing comfortable and with adequate weight gain. OBJECTIVE Analyze the etiology and physiology of gastroesophageal reflux for correct clinical management. MATERIALS AND METHODS The present investigation was carried out through a bibliographic review of quartile one and two scientific articles, of the five years, indexed in the last PUBMED database, GOOGLE SCHOLAR, SCIELO, ELSEVIER. CONCLUSION According to bibliographic sources, approximately 25% of pediatric consultations are associated with complaints of GER during the first 6 months after birth. A thorough medical history coupled with a complete physical examination is the gold standard for the diagnosis of RFG. And as a treatment, keeping infants in an upright position for at least twenty minutes after a feeding, head elevation, lateral position helps to decrease regurgitation episodes, continue with breast milk, thick formula, the same as indicated in formula-fed newborns with frequent, persistent, or bothersome spitting up.