Acupuncture for gastroesophageal reflux disease (GERD) and functional dyspepsia (FD), while not previously described in a pediatric cohort, may be a safe and effective alternative to pharmacologic treatment. This article provides a description of the authors' experience in treating children with refractory GERD or FD wherein acupuncture was used as a part of an integrative medicine treatment approach.
Materials and Methods:
A retrospective chart review was performed from 2013 to 2014.
Results:
Seven patients were treated: 5 of 6 reported reduction of nausea and 3 of 4 reported reductions in pain. Four of 4 patients were successfully weaned off proton pump inhibitors. The patients in this cohort tolerated acupuncture very well.
Conclusions:
Acupuncture in children is well-tolerated and safe, and has minimal adverse effects. It may be an effective adjunct to standard care for treating children with GERD or FD.
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References
1.
VandenplasY, RudolphCD, Di LorenzoC, et al.; NASPGHAN; ESPGHAN. Pediatric gastroesophageal reflux clinical practice guidelines: Joint recommendations of the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition (NASPGHAN) and the European Society for Pediatric Gastroenterology, Hepatology, and Nutrition (ESPGHAN). J Pediatr Gastroenterol Nutr. 2009; 49(4):498–547.
2.
YehAM, GolianuB. Integrative treatment of reflux and functional dyspepsia in children. Children. 2014; 1(2):119–133.
3.
JindalV, GeA, ManskyPJ. Safety and efficacy of acupuncture in children: A review of the evidence. J Pediatr Hematol Oncol. 2008; 30(6):431–442.
4.
YehCH, ChienLC, ChiangYC, LinSW, HuangCK, RenD. Reduction in nausea and vomiting in children undergoing cancer chemotherapy by either appropriate or sham auricular acupuncture points with standard care. J Altern Complement Med. 2012; 18(4):334–340.
5.
TakahashiT. Acupuncture for functional gastrointestinal disorders. J Gastroenterol. 2006; 41(5):408–417.
6.
HongYR. The effects of hand-acupuncture therapy on intermittent abdominal pain in children [in Korean]. Taehan Kanho Hakhoe Chi. 2005; 35(3):487–493.
7.
GolianuB, YehAM, BrooksM. Acupuncture for pediatric pain. Children. 2014; 1(2):134–148.
8.
DickmanR, SchiffE, HollandA, WrightC, SarelaSR, HanB, FassR. Clinical trial: Acupuncture vs. doubling the proton pump inhibitor dose in refractory heartburn. Aliment Pharmacol Ther. 2007; 26(10):1333–1344.
9.
BaiL, YanH, LiL, et al.Neural specificity of acupuncture stimulation at Pericardium 6: Evidence from an fMRI study. J Magn Reson Imaging. 2010; 31(1):71–77.
10.
KhayyalMT, Seif-El-NasrM, El-GhazalyMA, OkpanyiSN, KelberO, WeiserD. Mechanisms involved in the gastro-protective effect of STW 5 (Iberogast) and its components against ulcers and rebound acidity. Phytomedicine. 2006; 13(suppl5):56–66.
11.
RaveendraKR, Jayachandra, SrinivasaV, et al.An extract of Glycyrrhiza glabra (GutGard) alleviates symptoms of functional dyspepsia: A randomized, double-blind, placebo-controlled study. Evid Based Complement Alternat Med. 2012; 2012:216970.
12.
HaniadkaR, SaldanhaE, SunitaV, PalattyPL, FayadR, BaligaMS. A review of the gastroprotective effects of ginger (Zingiber officinale Roscoe). Food Funct. 2013; 4(6):845–855.
13.
MarxW, McCarthyAL, RiedK, et al.Can ginger ameliorate chemotherapy-induced nausea? Protocol of a randomized double blind, placebo-controlled trial. BMC Complement Altern Med. 2014; 14(1):134.
14.
van TilburgMA, ChitkaraDK, PalssonOS, TurnerM, Blois-MartinN, UlshenM, WhiteheadWE. Audio-recorded guided imagery treatment reduces functional abdominal pain in children: A pilot study. Pediatrics. 2009; 124(5):e890–e897.
15.
WeydertJA, ShapiroDE, AcraSA, MonheimCJ, ChambersAS, BallTM. Evaluation of guided imagery as treatment for recurrent abdominal pain in children: A randomized controlled trial. BMC Pediatr. 2006; 6:29.
16.
VliegerAM, Menko-FrankenhuisC, WolfkampSCS, TrompE, BenningaMA. Hypnotherapy for children with functional abdominal pain or irritable bowel syndrome: A randomized controlled trial. Gastroenterology. 2007; 133(5):1430–1436.
17.
AliT, ChoeJ, AwabA, WagenerTL, OrrWC. Sleep, immunity and inflammation in gastrointestinal disorders. World J Gastroenterol. 2013; 19(48):9231–9239.
18.
KandilTS, MousaAA, El-GendyAA, AbbasAM. The potential therapeutic effect of melatonin in gastro-esophageal reflux disease. BMC Gastroenterol. 2010; 10:7.
19.
Pereira RdeS. Regression of gastroesophageal reflux disease symptoms using dietary supplementation with melatonin, vitamins and aminoacids [sic]: Comparison with omeprazole. J Pineal Res. 2006; 41(3):195–200.
