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  • 文章类型: Journal Article
    胃食管反流(GER)是任何年龄儿童的常见正常现象。它在婴儿中更常见,大多数发作是短暂的,没有其他症状或并发症,将其与胃食管反流病(GERD)区分开来。GER和GERD的诊断和管理仍然是医生的挑战。因此,墨西哥胃肠病协会的目的是修改国际文件,以便利初级保健医生采用这些文件,以标准化护理质量和减少诊断测试的数量和不适当的药物使用为目标。遵循适应方法,并利用德尔菲策略批准了这些建议。执行委员会对准则进行了审查,立场文件,以及符合先验质量标准和可能在当地适用的国际审查。这些建议是从这些来源和调整,之后,他们得到了工作组的批准。共识包括25项声明及其有关婴儿GER和GERD诊断和治疗的支持信息。修改后的文件是第一个系统的努力,以提供在墨西哥使用的充分共识,为医疗保健提供者提出GER和GERD的实用方法和管理。
    Gastroesophageal reflux (GER) is a frequent normal phenomenon in children of any age. It is more common in infants, in whom the majority of episodes are short-lived and cause no other symptoms or complications, differentiating it from gastroesophageal reflux disease (GERD). The diagnosis and management of GER and GERD continue to be a challenge for the physician. Therefore, the aim of the Asociación Mexicana de Gastroenterología was to adapt international documents to facilitate their adoption by primary care physicians, with the goal of standardizing quality of care and reducing the number of diagnostic tests performed and inappropriate medication use. The ADAPTE methodology was followed, and the recommendations were approved utilizing the Delphi strategy. The executive committee carried out the review of the guidelines, position papers, and international reviews that met the a priori quality criteria and possible applicability in a local context. The recommendations were taken from those sources and adapted, after which they were approved by the working group. The consensus consists of 25 statements and their supporting information on the diagnosis and treatment of GER and GERD in infants. The adapted document is the first systematic effort to provide an adequate consensus for use in Mexico, proposing a practical approach to and management of GER and GERD for healthcare providers.
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