Gastroesophageal Reflux in Infants and Children

Brian C Gulack, Priscilla PL Chiu
Gastroesophageal Reflux in Infants and Children is a topic covered in the Pearson's General Thoracic.

To view the entire topic, please or .

STS Cardiothoracic Surgery E-Book from The Society of Thoracic Surgeons provides expert guidance for Cardiac and Thoracic Surgery. Sections include Pearson’s General Thoracic, Esphageal, Adult Cardiac, and Pediatric and Congenital Cardiac Surgery. Explore these free sample topics:

-- The first section of this topic is shown below --

Key Points

  • In infants and children, the signs and symptoms of gastroesophageal reflux disease (GERD) may be atypical, including irritability, poor feeding tolerance, respiratory symptoms, and failure to thrive.
  • Clinical history, response to treatment, and pH monitoring with or without impedence studies are the mainstays for diagnosis while contrast esophograms and endoscopy with biopsy can be important adjuncts for surgical decision-making.
  • Primary management is non-surgical and includes feeding modifications (e.g., positioning, eating habits, and food composition) and pharmacotherapy.
  • Surgical management of GERD in infants and children has changed dramatically over the recent period as fewer and fewer fundoplications are performed.

-- To view the remaining sections of this topic, please or --

Key Points

  • In infants and children, the signs and symptoms of gastroesophageal reflux disease (GERD) may be atypical, including irritability, poor feeding tolerance, respiratory symptoms, and failure to thrive.
  • Clinical history, response to treatment, and pH monitoring with or without impedence studies are the mainstays for diagnosis while contrast esophograms and endoscopy with biopsy can be important adjuncts for surgical decision-making.
  • Primary management is non-surgical and includes feeding modifications (e.g., positioning, eating habits, and food composition) and pharmacotherapy.
  • Surgical management of GERD in infants and children has changed dramatically over the recent period as fewer and fewer fundoplications are performed.

There's more to see -- the rest of this topic is available only to subscribers.

Last updated: January 11, 2021