Title

Surgical management of pediatric gastroesophageal reflux disease

Document Type

Journal Article

Publication Date

6-12-2013

Journal

Gastroenterology Research and Practice

Volume

2013

DOI

10.1155/2013/863527

Abstract

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 disease, and others are classified as having gastroesophageal reflux disease (GERD). Goals of GERD treatment include the resolution of symptoms and prevention of complications. Treatment options to achieve these goals include dietary or behavioral modifications, pharmacologic intervention, and surgical therapy. This paper will review the clinical presentation of GERD and discuss options for surgical management and outcomes in these patients. © 2013 Hope T. Jackson and Timothy D. Kane.

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