Mr. Iain Yardley, Consultant Neonatal and Paediatric Surgeon & Head of Paediatric Surgery at Evelina London Children’s Hospital, joined us recently to answer questions on reflux related issues in children born with OA/TOF.
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00:00 Welcome
01:10 What is reflux and why is it important?
04:48 So how long does it reflux last, and can it return if it does settle?
07:08 What are the specific symptoms of reflux?
08:56 Is dribbling the symptom of reflux in infants?
09:27 What are the symptoms of reflux in older children?
10:39 Can reflux affect milk teeth?
11:09 What are the potential problems of long-term night time reflux?
11:51 My child is on medication but wakes most nights crying with reflux. Is there anything we can do?
14:17 What is silent reflux?
15:52 Can reflux be managed without medication or surgery?
17:58 Are there other medical options?
20:27 Should all OA/TOF children be on omeprazole?
22:36 Would oesophagitis be a trigger for starting medication?
24:36 When and how can medication be stopped?
27:24 Will someone with long gap atresia always have reflux?
28:00 Are PPIs safe for long term use?
32:01 Can I probiotics be used when taking a PPI?
32:23 Can dysmotility affect the whole GI tract?
33:44 Can eating standing up help with reflux?
34:42 How do you feed a one-year-old with dysmotility?
37:01 How is reflux affected by having a gastric pull up?
39:31 Is fundoplication a permanent solution to acid reflux?
44:23 Is there a link between osteoporosis and PPI use?
46:24 Can reflux affect your oxygen saturation at night?
46:57 Is waking up thirsty at night a sign of reflux?
48:03 Does medication like Gaviscon act as a PPI?
49:36 What is the best way to reduce or stop PPI use?
51:09 What is the impact for people who have had colonic interposition with no lower oesophageal sphincter to stop reflux?
52:39 Syrup or tablets. Which works better for babies under 6 months?
53:41 Is Domperidone still prescribed?
57:15 Can being fed via a jejunal tube affect reflux?
58:17 Any tips on managing dysmotility?
58:48 How often should people be checked for Barratts Oesophagus?
59:27 My baby gets sick when I stop his PPI. Do they have severe reflux?
1:00:14 Would probiotics improve the gut biome?
1:00:46 Are there a test to check motility in the oesophagus?
1:01:37 What is the maximum recommended dose of omeprazole in children?
1:02:53 Can reflux cause gagging and feeding aversion?
1:03:24 Can PPIs cause upset stomach and gas?
1:03:36 Can we stop PPIs after a successful fundoplication?
1:04:53 Can reflux cause an additional stricture lower in the oesophagus?
