GERD 2022

Question 1

Benefits of thickened feeds

Answer 1

Decreasing daily number of vomiting/regurgitation episodes and weight gain

Question 2

Should cow’s milk protein be avoided to treat GER?

Answer 2

A 2 to 4 week trial of cow’s milk protein avoidance can be tried when other non-pharmacological measures have failed

Question 3

Should infant positioning be used to treat GERD?

Answer 3

No, it should be discouraged
Stronger evidence for back sleeping to prevent SIDS

Question 4

Side effects from H2RA

Answer 4

Increase in neonatal infections, NEC, and death in VLBW infants
Increased risk of fracture in children first year post birth

Question 5

When is acid suppressive therapy useful for children with GERD?

Answer 5

Children showing signs of erosive esophagitis (hematemesis, failure to feed, failure to thrive)

Question 6

How long should you trial an acid-suppressive medication for

Answer 6

4 to 8 weeks before reassessing the need to continue use

Question 7

Where in the GI system does
1. Domperidone
2. Prucalipride
3. Cisapride
work?

Answer 7

1. Stomach and duodenum
2. Everywhere
3. Stomach and duodenum