Gastroesophageal Reflux in Infants and Children
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.
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Last updated: October 14, 2023
Citation
Gulack, Brian C, and Priscilla P Chiu. "Gastroesophageal Reflux in Infants and Children." Pearson's General Thoracic Surgery. STS Cardiothoracic Surgery E-Book, Chicago: Society of Thoracic Surgeons, 2023. STS Surgery, ebook.sts.org.
Gulack BC, Chiu PP. Gastroesophageal Reflux in Infants and Children. In: Darling GE, Baumgartner WA, Jacobs JP, eds. Pearson's General Thoracic Surgery. STS Cardiothoracic Surgery E-Book. Chicago: Society of Thoracic Surgeons; 2023. ebook.sts.org. Accessed December 4, 2023.
Gulack, B. C., & Chiu, P. P. (2023). Gastroesophageal Reflux in Infants and Children. In Darling, G., Baumgartner, W., & Jacobs, J. (Eds.), Pearson's General Thoracic Surgery. STS Cardiothoracic Surgery E-Book. Chicago: Society of Thoracic Surgeons. ebook.sts.org
Gulack BC, Chiu PP. Gastroesophageal Reflux in Infants and Children [Internet]. In: Darling GE, Baumgartner WA, Jacobs JP, editors. Pearson's General Thoracic Surgery. STS Cardiothoracic Surgery E-Book. Chicago: Society of Thoracic Surgeons; 2023. [cited 2023 December 04]. Available from: ebook.sts.org.
* Article titles in AMA citation format should be in sentence-case
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T1 - Gastroesophageal Reflux in Infants and Children
ID - 1418527
ED - Jacobs,J,
ED - Darling,Gail,
ED - Baumgartner,William,
Y1 - 2023/10/14/
BT - Pearson's General Thoracic
UR - https://ebook.sts.org/sts/view/Pearsons-General-Thoracic/1418527/all/Gastroesophageal_Reflux_in_Infants_and_Children
PB - Chicago: Society of Thoracic Surgeons
DB - STS Surgery
DP - Unbound Medicine
ER -