Gastroesophageal reflux and regurgitation are amongst the most common phenomena of the infancy. The most important components of the pathophysiology are the developing anatomy, the characteristic motility, the quantitative and qualitative difference of the nutrients, and the early life style (supine recumbent position, long sleeping period), etc. GER is generally accepted as a normal physiological symptom, however under special genetic, anatomic, motility and immune circumstances it could develop chronic GERD and plays an important role in several organic manifestations. As in the case of GER it is sufficient to provide the parents with feeding and caring advice, the therapy of GERD is the same as for adults.

At the Lipid Section of the Internal Medicine at St. Imre Hospital since 1983 13000 obes patient have taken part in a one-week 500 calorie dietary treatment together with a full examination and education.

According to the data of the 1520 patients of 43,9 years on the average, the BMI value was 37,8 ± 6,9 kg/m². The occurence of hypertension was 64,5%, while that of hypercholesterinaemia was 51 and that of hypertriglyceridaemia was 47, with the ratio of low HDL-Cholesterol beeing 27,5%. 15,5% of the patients suffered from diabetes, 28,5% had IFG and IGT, thus a total of 44% had glucose intolerance.

The proportion of metabolic syndrome was 32%. The average weight loss of the patients during the weak was 3,85 kg, with their blood pressure decreasing by 7,5/6,9 mm Hg. As outpatients, they continued to be treated with a diet of 1200-1500 calories. About one half of the regularly supervised patients have not regained their original weight after one year.