Abstract:

Gastroesophageal reflux（GER） is defined as gastric contents passing into the esophagu， which is a normal physiologic process；however，gastroesophageal reflux disease（GERD） causes troublesome symptoms or complications. More than two thirds of healthy infants experience GER symptoms. Comprehensive GER/GERD clinical guidelines for birth to 1 year of age have been jointly updated by the North American Society for Pediatric Gastroenterology，Hepatology，and Nutrition（NASPGHAN） and the European Society for Pediatric Gastroenterology，Hepatology，and Nutrition（ESPGHAN） and endorsed by the American Academy of Pediatrics（AAP）. Conservative measures are indicated as firstline treatment in uncomplicated GER and GERD. Differentiating between infants who require conservative treatment and those requiring gastroenterology referral is crucial for best practice.

Key words: gastroesophageal reflux, gastroesophageal reflux disease, practice guideline, infant

摘要：

超过2/3健康婴儿都曾有过胃食管反流（GER）症状，当其引起一系列不良反应及并发症时则称为胃食管反流病（GERD）。由美国儿科学会（AAP）授权，由北美儿科胃肠病学、肝病学和营养学会（NASPGHAN）及欧洲儿科胃肠病学、肝病学和营养学会（ESPGHAN）共同修订婴儿GER和GERD的管理临床指南。该指南提出，对于无并发症的GER和GERD，保守治疗可为一线方案，并且对是选择保守治疗，还是转诊胃肠科做了精确的评定。

关键词: 胃食管反流, 胃食管反流病, 临床指南, 婴儿