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Gastroesophageal reflux in children: clinical manifestations, diagnosis, pathophysiology, and therapy

A R Euler, M E Ament

    Pediatric Annals
    |November 1, 1976
    PubMed

    Insights

    Diagnosing and treating pediatric gastroesophageal reflux disease (GERD) requires careful evaluation. Diagnostic tests and medical or surgical interventions, like Nissen fundoplications, offer excellent outcomes for children.

    Area of Science:

    • Pediatric Gastroenterology
    • Gastrointestinal Disorders

    Background:

    • Gastroesophageal reflux (GER) in children presents diagnostic challenges.
    • Accurate diagnosis is crucial for effective management.

    Purpose of the Study:

    • To outline diagnostic approaches for pediatric GER.
    • To describe treatment strategies for GER in infants and children.

    Main Methods:

    • History and physical examination are primary diagnostic tools.
    • Esophageal manometry, Tuttle test, and Bernstein test aid in reflux confirmation.
    • Esophagoscopy with biopsies identifies esophagitis or strictures.

    Main Results:

    • Medical management is recommended for 3-6 weeks for most cases.
    • Surgical intervention (Nissen fundoplication) is indicated for medical failures, strictures, or severe malnutrition.
    • Surgical correction yields excellent prognosis.

    Conclusions:

    • A systematic approach combining diagnostic tests and tailored treatment is effective for pediatric GER.
    • Prompt and appropriate intervention improves patient outcomes.

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