Pediatric Gastroesophageal Reflux Disease

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Surgical Management of Pediatric Gastroesophageal Reflux Disease

Gastroesophageal reflux (GER) is common in the pediatric population. Most cases represent physiologic GER and as the lower esophageal sphincter (LES) matures and a solid diet is introduced, many of these patients (>65%) experience spontaneous resolution of symptoms by two years of age. Those who continue to have symptoms and develop complications such as failure to thrive, secondary respiratory...

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 Diagnosis History. If classic symptoms of heartburn and acid regurgitation dominate a patient’s history, then they can help establish the diagnosis of GERD with sufficiently high specificity, although sensitivity remains low compared to 24-hour pH monitoring. The presence of atypical symptoms (Table 1), although common, cannot sufficiently support the clinical diagnosis of GERD [B*]. Testing....

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ژورنال

عنوان ژورنال: Gastroenterology Clinics of North America

سال: 1990

ISSN: 0889-8553

DOI: 10.1016/s0889-8553(21)00660-9