Efficacy of proton-pump inhibitors in children with gastroesophageal reflux disease: A systematic review

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dc.contributor.authorvan der Pol, R.
dc.contributor.authorSmits, M.
dc.contributor.authorvan Wijk, M.
dc.contributor.authorOmari, T.
dc.contributor.authorTabbers, M.
dc.contributor.authorBenninga, M.
dc.date.issued2011
dc.description.abstract<h4>Introduction</h4>Use of proton-pump inhibitors (PPIs) for the treatment of gastroesophageal reflux disease (GERD) in children has increased enormously. However, effectiveness and safety of PPIs for pediatric GERD are under debate.<h4>Objectives</h4>We performed a systematic review to determine effectiveness and safety of PPIs in children with GERD.<h4>Methods</h4>We searched PubMed, Embase, and the Cochrane Database of Systematic Reviews for randomized controlled trials and crossover studies investigating efficacy and safety of PPIs in children aged 0 to 18 years with GERD for reduction in GERD symptoms, gastric pH, histologic aberrations, and reported adverse events.<h4>Results</h4>Twelve studies were included with data from children aged 0-17 years. For infants, PPIs were more effective in 1 study (compared with hydrolyzed formula), not effective in 2 studies, and equally effective in 2 studies (compared with placebo) for the reduction of GERD symptoms. For children and adolescents, PPIs were equally effective (compared with alginates, ranitidine, or a different PPI dosage). For gastric acidity, in infants and children PPIs were more effective (compared with placebo, alginates, or ranitidine) in 4 studies. For reducing histologic aberrations, PPIs showed no difference (compared with ranitidine or alginates) in 3 studies. Six studies reported no differences in treatment-related adverse events (compared with placebo or a different PPI dosage).<h4>Conclusions</h4>PPIs are not effective in reducing GERD symptoms in infants. Placebo-controlled trials in older children are lacking. Although PPIs seem to be well tolerated during short-term use, evidence supporting the safety of PPIs is lacking.
dc.description.statementofresponsibilityRachel J. van der Pol, Marije J. Smits, Michiel P. van Wijk, Taher I. Omari, Merit M. Tabbers and Marc A. Benninga
dc.identifier.citationPediatrics, 2011; 127(5):925-935
dc.identifier.doi10.1542/peds.2010-2719
dc.identifier.issn0031-4005
dc.identifier.issn1098-4275
dc.identifier.orcidOmari, T. [0000-0001-5108-7378]
dc.identifier.urihttp://hdl.handle.net/2440/67273
dc.language.isoen
dc.publisherAmer Acad Pediatrics
dc.rightsCopyright © 2011 by the American Academy of Pediatrics
dc.source.urihttps://doi.org/10.1542/peds.2010-2719
dc.subjectsystematic review
dc.subjectgastroesophageal reflux disease
dc.subjectefficacy
dc.subjectsafety
dc.subjectproton-pump inhibitors
dc.subjectchildren
dc.titleEfficacy of proton-pump inhibitors in children with gastroesophageal reflux disease: A systematic review
dc.typeJournal article
pubs.publication-statusPublished

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