PEM Currents: The Pediatric Emergency Medicine Podcast
Brad Sobolewski, MD, MEd
149 episodes
4 days ago
PEM Currents: The Pediatric Emergency Medicine Podcast is an evidence-based podcast focused on the care of ill and injured children in the Emergency Department. The host is Brad Sobolewski, author of PEMBlog.com and a Professor of Pediatric Emergency Medicine at Cincinnati Children’s and the University of Cincinnati.
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PEM Currents: The Pediatric Emergency Medicine Podcast is an evidence-based podcast focused on the care of ill and injured children in the Emergency Department. The host is Brad Sobolewski, author of PEMBlog.com and a Professor of Pediatric Emergency Medicine at Cincinnati Children’s and the University of Cincinnati.
PEM Currents: The Pediatric Emergency Medicine Podcast
27 minutes
1 year ago
Gastroesophegeal Reflux and Gastritis
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In this episode of PEM Currents: The Pediatric Emergency Medicine Podcast, I explore the complexities of gastroesophageal reflux (GER) and gastritis in children and adolescents. I’ll make the important distinction between gastritis – which is diagnosed only via endoscopy – and dyspepsia, the term best used to describe the symptoms many patients experience. I’ll dive into the latest clinical practice guidelines and discuss evidence-based approaches to diagnosis and treatment.<br />
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Topics covered include:<br />
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* The pathophysiology of GER and GERD in the pediatric population.<br />
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* Understanding dyspepsia and its clinical presentation.<br />
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* Diagnostic strategies and when to consider further evaluation.<br />
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* The role of lifestyle and dietary modifications in management.<br />
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* Pharmacological interventions, including the use of proton pump inhibitors (PPIs), H2 blockers, and antacids.<br />
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* Current controversies and updates in pharmacological treatments.<br />
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* Management of gastritis and the consideration of Helicobacter pylori infection.<br />
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Join me as I scope out the nuances of gastroesophageal reflux and gastritis and provide practical insights for clinicians in the emergency setting.<br />
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<a href="http://www.pwmblog.com" target="_blank" rel="noreferrer noopener">PEMBlog</a><br />
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<a href="http://twitter.com/PEMTweets">@PEMTweets on… sigh “X” (Twitter)</a><br />
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<a href="https://www.instagram.com/bradsobolewski/" target="_blank" rel="noreferrer noopener">My Instagram</a><br />
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<a href="https://med-mastodon.com/@bradsobo" target="_blank" rel="noreferrer noopener">My Mastodon account @bradsobo</a><br />
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References<br />
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Rosen R, Vandenplas Y, Singendonk M, et al. Pediatric Gastroesophageal Reflux Clinical Practice Guidelines: Joint Recommendations of the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition and the European Society for Pediatric Gastroenterology, Hepatology, and Nutrition. J Pediatr Gastroenterol Nutr. 2018;66(3):516-554. doi: <a href="https://doi.org/10.1097/MPG.0000000000001889">10.1097/MPG.0000000000001889</a><br />
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Lightdale JR, Gremse DA; Section on Gastroenterology, Hepatology, and Nutrition. Gastroesophageal Reflux: Management Guidance for the Pediatrician. Pediatrics. 2013;131(5):e1684-1695. doi: <a href="https://doi.org/10.1542/peds.2013-0421">10.1542/peds.2013-0421</a><br />
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Tighe M, Afzal NA, Bevan A, et al. Pharmacological Treatment of Children with Gastro-oesophageal Reflux. Cochrane Database Syst Rev. 2014;2014(11):CD008550. doi: <a href="https://doi.org/10.1002/14651858.CD008550.pub2">10.1002/14651858.CD008550.pub2</a><br />
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Sintusek P, Mutalib M, Thapar N. Gastroesophageal Reflux Disease in Children: What’s New Right Now? World J Gastrointest Endosc. 2023;15(3):84-102. doi: <a href="https://doi.org/10.4253/wjge.v15.i3.84">10.
PEM Currents: The Pediatric Emergency Medicine Podcast
PEM Currents: The Pediatric Emergency Medicine Podcast is an evidence-based podcast focused on the care of ill and injured children in the Emergency Department. The host is Brad Sobolewski, author of PEMBlog.com and a Professor of Pediatric Emergency Medicine at Cincinnati Children’s and the University of Cincinnati.
