Pediatric Gastroesophageal Reflux Clinical Practice Guidelines: Joint Recommendations of the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition and the European Society for Pediatric Gastroenterology, Hepatology, and Nutrition
Journal of Pediatric Gastroenterology and Nutrition
Rosen, R., Vandenplas, Y., et al. (2018).
Journal of Pediatric Gastroenterology and Nutrition, 66(3), 516-554.
This is a consensus guideline providing recommendations for the diagnosis and treatment of gastroesophageal reflux disease (GERD) in children. Although the diagnosis and treatment of GERD is outside the scope of speech-language pathologists (SLP), this guideline provides some recommendations that may pertain to the SLP's scope of practice.
European Society for Pediatric Gastroenterology, Hepatology, and Nutrition; North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition
<div>The following recommendations about the safety of thickeners were provided:</div>
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<li>Due to rising concerns of arsenic exposure, using rice cereal thickeners with low or no arsenic is recommended.</li>
<li>"Carob bean thickeners are approved for use in infants after 42 weeks gestation. Xanthum gum thickeners are approved for infants greater than 1 year old because of concerns of necrotizing enterocolitis" (p. 534).</li>
</ul>
