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Vrije Universiteit Brussel (Y.V.), Academisch Ziekenhuis Kinderen, Brussels, BELGIUM
Prime Health Consultants, Inc. (J.Z.L.), Miami, Florida
University of Pittsburgh (S.O.), Childrens Hospital of Pittsburgh, Pennsylvania
Baylor University (C.H.L.), Childrens Nutrition Research Center, Houston, Texas
University of Queensland (R.W.S.), Royal Childrens Hospital, Brisbane, Queensland, AUSTRALIA
Hospital ABC of Mexico (P.R.C.), Mexico City, MEXICO
Miami Childrens Hospital (W.I.M., F.L.), Miami, Florida
Escola Paulista de Medicina (U.F.N.), Departmento de Pediatria-E.P.M., São Paulo, BRAZIL
Instituto Nacional de Salud (J.A.G.A.), Hospital Infantil de Mexico, Mexico City, MEXICO
University of Seville (M.G.), Hospital Virgen Macarena, Seville, SPAIN
Ponce School of Medicine (J.D.S.), Ponce, PUERTO RICO
Ramon Emiterio Betances Hospital, University of Nebraska Medical Center (J.V.), Omaha, Nebraska
University of Hong Kong (C-Y.Y.), Queen Mary Hospital, Hong Kong, CHINA
Mead Johnson Research Center (J.R.M.), Evansville, Indiana
Address reprint requests to: Fima Lifshitz, MD, FACN, Miami Childrens Hospital, 3100 SW 62nd Avenue, Miami, FL 33155
Infantile regurgitation is a frequently occurring problem. Throughout the world, anxious parents are imploring physicians to eliminate their infants regurgitation. General practitioners, pediatricians and pediatric gastroenterologists strive to alleviate infantile regurgitation and its related parental stress. In this paper we define the scope of the problem and analyze the optimal, cost-efficient management approach to simple regurgitation in infants. The intent of this paper is to disseminate this information to practicing physicians and other health care professionals in an attempt to minimize the impact of this annoying problem of infancy and to eliminate confusion and expensive diagnostic tests and use of sub-optimal treatment modalities. Parental reassurance and dietary management by feeding thickened formula are important components in managing regurgitation in infants while maintaining optimal nutritional intake for adequate growth and development.
Key words: diagnosis, epidemiology, gastroesophageal reflux, nutritional treatment, pathophysiology, reflux, regurgitation, thickened feedings
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