Clinical Aspects of Thickeners for Pediatric Gastroesophageal Reflux and Oropharyngeal Dysphagia.
Clinical Aspects of Thickeners for Pediatric Gastroesophageal Reflux and Oropharyngeal Dysphagia.
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DOI：
10.1007/s11894-019-0697-2
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发表时间：
2019-05-16
影响因子：
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通讯作者：
Rosen, Rachel L
中科院分区：
文献类型：
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作者：
Duncan, Daniel R;Larson, Kara;Rosen, Rachel L
综述的目的：这篇综述的目的是讨论关于增稠剂治疗儿童胃食道反流和口咽吞咽困难的临床方面的现有知识和最新发现。我们回顾了增稠剂疗效的证据，讨论了增稠剂的类型，在使用各种增稠剂时的实用考虑，以及在儿科使用增稠剂的风险和好处。研究结果：增稠剂在减少反流和改善吞咽力学方面有效，通常可以经验性地用于婴幼儿的治疗。不良反应已有报道，但在仔细考虑适当的增稠剂类型、所需的增稠稠度以及与喂养专家合作的随访后，大多数患者的症状都有所改善。增稠剂的耐受性通常很好，副作用很少，但需要密切随访，以确保患者耐受增稠剂并有足够的症状改善。
PURPOSE OF REVIEW: The purpose of this review is to discuss current knowledge and recent findings regarding clinical aspects of thickeners for pediatric gastroesophageal reflux and oropharyngeal dysphagia. We review evidence for thickener efficacy, discuss types of thickeners, practical considerations when using various thickeners, and risks and benefits of thickener use in pediatrics.RECENT FINDINGS: Thickeners are effective in decreasing regurgitation and improving swallowing mechanics and can often be used empirically for the treatment of infants and young children. Adverse effects have been reported, but with careful consideration of appropriate thickener types, desired thickening consistency, and follow-up in collaboration with feeding specialists, most patients have symptomatic improvements. Thickeners are typically well tolerated and with few side effects, but close follow-up is needed to make sure patients tolerate thickeners and have adequate symptom improvement.