TY - CHAP M1 - Book, Section TI - Gastroesophageal Reflux Disease A1 - Jolley, Stephen G. A1 - Roaten, J. Brent A2 - Ziegler, Moritz M. A2 - Azizkhan, Richard G. A2 - Allmen, Daniel von A2 - Weber, Thomas R. PY - 2014 T2 - Operative Pediatric Surgery, 2e AB - Understanding the historical perceptions and experience with gastroesophageal reflux disease (GERD) in infants and children allows the clinician to evaluate the efficacy and reasonableness of proposed treatment modalities.The presence of GERD in children can be suspected by clinical history, but confirmation requires quantitative testing, which is often invasive.The most reliable test to confirm the presence or absence of GERD in children is extended esophageal pH monitoring. This test can also give important information about the probability of spontaneous resolution of GERD with time, and the probability that respiratory symptoms associated with the risk for sudden infant death are caused by GERD.Medical therapy of childhood GERD is often successful in controlling symptoms, but may not eliminate the GERD over time.Antireflux operations in children with GERD can be performed safely with good long-term control of GERD and minimal morbidity and mortality. More than 1 approach and type of antireflux operation can be used in children to maximize the advantages and minimize the side effects.The same quantitative evaluation used preoperatively to confirm GERD in children should be used for postoperative evaluation when there is a question about whether GERD is still present or has been eliminated.Asymptomatic children may have GERD and be at risk for serious complications of GERD, particularly infants with congenital anomalies associated with a high prevalence of GERD. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/29 UR - accesssurgery.mhmedical.com/content.aspx?aid=1100433284 ER -