0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Gastroesophageal Reflux

ARTHUR R. EULER, MD
Am J Dis Child. 1977;131(9):1035. doi:10.1001/archpedi.1977.02120220101020.
Text Size: A A A
Published online

Sir.—Dr Herbst and co-workers, in the November 1976 issue of the Journal (130:1256, 1976), reported on three children with gastroesophageal reflux (GER), protein-losing enteropathy, and finger clubbing. This valuable documentation again shows the severe consequences of chronic GER in the pediatric-aged patient.

I would like to ask the authors the following questions about their article:

  1. Did the history or physical examination suggest the presence of pulmonary disease? What studies besides chest roentgenograms were done to exclude GER-associated pulmonary disease?

  2. 2. Did you demonstrate sufficient intake of food or was caloric deprivation a contributing cause to the hypoalbuminemia? Did 51Cr studies postoperatively demonstrate a cessation in stool loss in association with a rise in serum albumin level?

  3. 3. Was there a fall-off in height and weight growth prior to surgery and a resumption of normal growth postoperatively?

  4. 4. At what point in the gastrointestinal tract did protein loss occur

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();