Le nuove linee guida del National Institute for Health and Care Excellence (NICE) sul reflusso gastroesofageo: quali sono le raccomandazioni? Quali le considerazioni?

Guidelines: what is the best for clinical practice

The new National Institute for Health and Care Excellence (NICE) guidelines on gastroesophageal reflux: what are the recommendations? What are the considerations?

Teresa Capriati (1), Silvia Salvatore (2)

¹Unità Operativa Semplice di Nutrizione artificiale, Ospedale Pediatrico Bambino Gesù, Roma²Dipartimento di Medicina clinica e sperimentale, Università dell’Insubria Pediatria, Ospedale “F. Del Ponte"

A new National Institute for Health and Care Excellence (NICE) guideline for gastroesophageal reflux (GER) has recently been published. GER-disease (GERD) is defined as GER complications or symptoms severe enough to merit treatment. Parental advices, “red flags” symptoms, differential diagnosis, at risk conditions and indications for en- doscopy and pH(impedance)-monitoring are presented. Initial management for GER and GERD and nutritional, phar- macological and surgical treatment for GERD are also illustrated.