Gastroesophageal Reflux Disease

Gastroesophageal reflux disease (GERD) results from persistent gastroesophageal reflux (GER) leading to bothersome symptoms and/or complications. Certain pediatric patient populations are at increased risk for GERD, such as those with certain congenital defects and those with neurologic impairment. While studies can be used to aid in characterizing reflux, diagnosis is clinical. Treatment options include non-pharmacological, pharmacologic, and surgical approaches. Pediatric surgeons must be able to recognize symptoms of GERD and determine when surgical management is the optimal method of treatment.