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Updated: Jun 1, 2026

Simultaneous Laryngopharyngeal and Conventional Esophageal pH Monitoring
Published on: December 14, 2020
Diagnosis of gastroesophageal reflux disease in infants
Frankie B Fike1, Vincent E Mortellaro, Janine N Pettiford
1Center for Prospective Clinical Trials, Department of Surgery, Children's Mercy Hospital, 2401 Gillham Road, Kansas City, MO 64108, USA.
Insights
Infantile gastroesophageal reflux is common, but diagnosing persistent disease remains challenging. This review evaluates current diagnostic tools for infant reflux to guide effective treatment decisions.
Area of Science:
- Pediatric Gastroenterology
- Infant Health
- Reflux Disease
Background:
- Gastroesophageal reflux is a frequent condition in infants.
- While most infants outgrow reflux, some develop persistent disease requiring intervention.
- Diagnosing pediatric gastroesophageal reflux disease (GERD) effectively presents a significant challenge.
Purpose of the Study:
- To critically evaluate the diagnostic modalities for infantile gastroesophageal reflux.
- To assess the merits and limitations of current diagnostic tools.
- To inform the selection of effective diagnostic strategies for pediatric GERD.
Main Methods:
- Comprehensive literature review of diagnostic tools for infantile GERD.
- Analysis of the effectiveness and limitations of various diagnostic methods.
- Comparison of diagnostic approaches used in pediatric versus adult populations.
Main Results:
- The optimal diagnostic method for infantile GERD is not definitively established.
- Existing diagnostic tools have varying degrees of efficacy and limitations.
- Differentiating infants who will benefit from definitive therapy is complex.
Conclusions:
- Further research is needed to clarify the most effective diagnostic pathway for pediatric GERD.
- Careful consideration of diagnostic tool limitations is crucial for accurate assessment.
- Improved diagnostic clarity can lead to more targeted and effective treatment for infants with reflux.
Abstract:
Gastroesophageal reflux is commonly encountered in the infant population. Most children will outgrow their reflux but some develop pervasive disease and require medical or surgical treatment. Many tools exist for use in the workup of pediatric gastroesophageal reflux disease; however, the most effective method of diagnosis is not clear. Delineating which patients will benefit from more definitive therapy is a remarkable challenge in this group, often borrowing tools and principles from the adult patient population. Therefore, we reviewed the available literature to critically evaluate the merits and limitations of the current diagnostic modalities available for the evaluation of infantile gastroesophageal reflux.
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