Related Experiment Video

Updated: Aug 5, 2026

CO2-Lasertonsillotomy Under Local Anesthesia in Adults
05:07

CO2-Lasertonsillotomy Under Local Anesthesia in Adults

Published on: November 6, 2019

Incidence of reflux in young children undergoing adenoidectomy

M M Carr1, C P Poje, D Ehrig

  • 1Children's Hospital of Buffalo, Buffalo, New York, USA. mm.carr@utoronto.ca

The Laryngoscope
|January 22, 2002
PubMed

Insights

Children under 2 with adenoid hypertrophy requiring surgery have a higher incidence of gastroesophageal reflux disease (GERD) compared to those with otitis media needing ventilation tubes. This highlights a significant link between adenoid issues and GERD in infants.

Area of Science:

  • Pediatric Otolaryngology
  • Gastroenterology
  • Pediatric Health

Background:

  • Gastroesophageal reflux disease (GERD) is a common condition in infants.
  • Adenoid hypertrophy and otitis media with effusion are prevalent conditions in young children.
  • The relationship between these conditions and GERD requires further investigation.

Purpose of the Study:

  • To compare the incidence of GERD in children under 2 years of age undergoing adenoidectomy versus those undergoing ventilation tube insertion without adenoidectomy.
  • To identify potential risk factors or associations between upper airway conditions and GERD in infants.

Main Methods:

  • Retrospective chart review of children under 2 years old.
  • Comparison of two groups: adenoidectomy (Ad group) and ventilation tube insertion without adenoidectomy (VT group).
  • Analysis of GERD diagnosis, diagnostic methods, treatment, and symptom resolution.

Main Results:

  • GERD incidence was significantly higher in the adenoidectomy group (42%) compared to the ventilation tube group (7%) (P < .001).
  • In the adenoidectomy group, 88% of children aged 1 or less had GERD, versus 32% of those older than 1.
  • In the ventilation tube group, 14% of patients aged 1 or less had GERD, versus 2% of those older than 1.

Conclusions:

  • Children under 2 with symptomatic adenoid enlargement requiring adenoidectomy have a significantly higher incidence of GERD.
  • Infants undergoing adenoidectomy present a higher risk for GERD compared to those undergoing ventilation tube insertion.
  • These findings suggest a potential link between adenoid hypertrophy and GERD in young children.
Abstract

More Related Videos

Simultaneous Laryngopharyngeal and Conventional Esophageal pH Monitoring06:46

Simultaneous Laryngopharyngeal and Conventional Esophageal pH Monitoring

Published on: December 14, 2020

Technical Considerations and Approach to Redo Foregut Surgery04:14

Technical Considerations and Approach to Redo Foregut Surgery

Published on: September 22, 2023

Related Concept Videos

Chronic Pharyngitis01:23

Chronic Pharyngitis

Chronic pharyngitis refers to persistent inflammation of the pharyngial mucosa.
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
Tonsillitis II: Management01:26

Tonsillitis II: Management

This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
Suctioning the Nasopharyngeal Airway01:29

Suctioning the Nasopharyngeal Airway

Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Gastroesophageal Reflux Disease II: Clinical Features and Management01:29

Gastroesophageal Reflux Disease II: Clinical Features and Management

Gastroesophageal reflux disease, or GERD, is a persistent medical condition that affects many individuals worldwide. Its clinical manifestations can vary greatly, making diagnosis and management challenging for healthcare professionals. The following is a comprehensive overview of the clinical manifestations, assessment, and management strategies for GERD.
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
Esophageal Strictures-II: Clinical Features and Management01:26

Esophageal Strictures-II: Clinical Features and Management

Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Gastroesophageal Reflux Disease01:25

Gastroesophageal Reflux Disease

Gastroesophageal reflux disease (GERD) is the backward flow of stomach contents (acid, pepsin, or bile) into the esophagus, causing mucosal inflammation known as esophagitis. It results from failure of antireflux mechanisms, mainly the lower esophageal sphincter (LES), influenced by mechanical and physiological factors.Etiology and Risk FactorsGERD develops when LES function is weakened or when intra-abdominal pressure increases. Risk factors include aging, obesity, and sliding hiatal hernia,...