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Surgical management of pediatric gastroesophageal reflux disease

Hope T Jackson1, Timothy D Kane

  • 1Department of Surgery, The George Washington University School of Medicine & Health Sciences, Washington, DC, USA.

Gastroenterology Research and Practice
|June 14, 2013
PubMed

Insights

Gastroesophageal reflux disease (GERD) affects children, but most cases resolve spontaneously. For persistent GERD, treatment options range from lifestyle changes to surgery, aiming to prevent complications and improve symptoms.

Area of Science:

  • Pediatric Gastroenterology
  • Surgical Management of Reflux

Background:

  • Gastroesophageal reflux (GER) is prevalent in infants.
  • Physiologic GER often resolves by age two with maturation and dietary changes.
  • Gastroesophageal reflux disease (GERD) is diagnosed when GER causes complications like failure to thrive or respiratory issues.

Purpose of the Study:

  • To review the clinical presentation of pediatric GERD.
  • To discuss surgical management options for GERD.
  • To evaluate outcomes of surgical interventions for GERD.

Main Methods:

  • Literature review of GERD clinical presentation.
  • Analysis of surgical treatment modalities for pediatric GERD.
  • Examination of post-surgical outcomes in GERD patients.

Main Results:

  • GERD diagnosis requires persistent symptoms and complications beyond typical infant reflux.
  • Treatment goals focus on symptom resolution and complication prevention.
  • Surgical intervention is considered for refractory pediatric GERD cases.

Conclusions:

  • GERD management requires a tailored approach based on symptom severity and complications.
  • Surgical options offer a therapeutic pathway for severe, intractable pediatric GERD.
  • Further research into optimal surgical techniques and long-term outcomes is warranted.

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