Stories about: Aerodigestive Center

Why expert care is crucial for aspiration

Dr. Rachel Rosen explains her new study about aspiration
PHOTO ILLUSTRATION: PATRICK BIBBINS/BOSTON CHILDREN’S HOSPITAL

Aspiration, or the entrance of food or liquid into a child’s airway, is associated with oropharyngeal dysphagia and other swallowing problems. It is more common in premature babies and those with neurological abnormalities, although it can occur in any child. Parents typically bring their children to pediatricians when they observe choking, regurgitation, coughing and other symptoms related to feeding. …Read More

New guidelines for GERD: What every pediatrician should know

clinical guidelines for GERD

Spitting up is a normal occurrence for young infants — as long as a child is growing well and not developing other problems, such as breathing difficulties, the problem will resolve on its own without treatment. But how can you determine if your patient has gastroesophageal reflux disease (GERD)? New expert guidelines draw on the latest research findings to help advise specialists and primary care providers on the evaluation and treatment of GERD in infants and children.

Rachel Rosen, MD, MPH, director of the Aerodigestive Center at Boston Children’s Hospital, served as lead author on these international guidelines.

“Over the last 10 years, there has been an explosion of advances not only in our understanding the pathophysiology of reflux, but also in the diagnostic tests to evaluate reflux and problems that masquerade as reflux,” she explains. “In prior guidelines, the focus was on acid-related disease and treatment with acid suppression. We now know that gastroesophageal reflux, particularly in infants and young children, is often non-acidic, so treating patients with acid suppression is ineffective. This is a true paradigm shift.” Here, Rosen shares some highlights that every pediatrician should know.

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