1Scuola di Specializzazione di Pediatria, Azienda Ospedaliero-Universitaria S. Anna, Ferrara
2UOC di Pediatria, Ospedale Maggiore, Bologna
3IRCCS Materno-Infantile “Burlo Garofolo”, Università di Trieste
4UOC di Pediatria e Neonatologia, Ospedale di Ravenna, AUSL della Romagna
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Key words: Gastroesophageal reflux, Non-interventionist approach, Pharmacological treatment
Although gastroesophageal reflux in infants is physiological and resolves spontaneously, pharmacological treatment in the paediatric population is continuously increasing despite the dissemination of recent guidelines that focus on a non-interventionist approach and emphasise the importance of ex-planation and reassurance. Acid reducing medications, widely used to alleviate manifestation commonly diagnosed as gastroesophageal reflux disease, are ineffective for symptom relief and carry significant risk of harm. The factors that lead to overtreatment are not well understood. Probably, the use of the definition “gastroesophageal reflux” itself increases the perception of illness severity and influences parents’ interest in medicating their infants.
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