Related Experiment Video
Updated: May 17, 2026

Simultaneous Laryngopharyngeal and Conventional Esophageal pH Monitoring
Published on: December 14, 2020
Diagnostic testing and management of gastroesophageal reflux disease (GERD) in children
J Cabrera1, G Subbarao, J Croffie
1Children's Hospital of Wisconsin, Medical College of Wisconsin, Milwaukee, WI, USA.
Insights
Gastroesophageal reflux disease (GERD) diagnosis in children has advanced from basic methods to sophisticated impedance/pH monitoring. This review covers current diagnostic tools and management strategies for pediatric GERD.
Area of Science:
- Pediatric Gastroenterology
- Diagnostic Technologies
Background:
- Gastroesophageal reflux disease (GERD) is a common condition in children.
- Diagnostic approaches for pediatric GERD have significantly evolved over time.
Purpose of the Study:
- To review the current diagnostic tests for GERD in children.
- To outline the contemporary management strategies for pediatric GERD.
Main Methods:
- Literature review of diagnostic modalities for GERD.
- Analysis of current clinical practice guidelines for pediatric GERD management.
Main Results:
- Diagnostic methods have progressed from clinical history and fluoroscopy to advanced techniques.
- Continuous esophageal pH monitoring and impedance/pH monitoring are key diagnostic tools.
- Management strategies have been refined based on diagnostic advancements.
Conclusions:
- The diagnosis of pediatric GERD now relies on advanced monitoring techniques.
- Effective management of pediatric GERD requires understanding these evolving diagnostic and therapeutic approaches.
Abstract:
The diagnosis of gastroesophageal reflux disease (GERD) has evolved from reliance on history and fluoroscopy to continuous esophageal pH monitoring with catheter-based pH probes and wireless pH probes to continuous impedance/pH monitoring. This review describes the currently employed diagnostic tests and the actual management of GERD in children.
Related Concept Videos
Gastroesophageal Reflux Disease II: Clinical Features and Management
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
Gastroesophageal Reflux Disease
Gastroesophageal Reflux Disease I: Meaning and Pathophysiology
Barrett Esophagus-II: Clinical Manifestations and Management
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure entails...
Endoscopic Procedures I: Esophagogastroduodenoscopy
During an EGD, the endoscope can be used to:
Esophageal Strictures-II: Clinical Features and Management
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...

