Population based epidemiological survey of gastroesophageal reflux disease in hospitalized U.S. children

Laparoscopic Nissen fundoplication in infants and children: analysis of 106 consecutive patients with special emphasis in neurologically impaired vs. neurologically normal patients

“…Although the exact prevalence of GERD is difficult to evaluate, Gibbons et al [3] estimate that GERD represents approximately 4% of all paediatric hospital admissions. In most children a spontaneous resolution can be expected [1,2,4,5], but in some cases complications such as oesophagitis, pneumopathies, bradycardia, and apnea can occur.…”

Tratamento das estenoses esofágicas por dilatação endoscópica em crianças e adolescentes

“…However, the prevalence of esophageal stricture secondary to severe gastroesophageal reflux is poorly documented in childhood and is estimated to be around 1.5%. 13,14 Most of these strictures are found in the distal third of the esophagus. Predisposing factors for esophageal strictures include neurological disorders, chronic lung disease, hiatus hernia, congenital gastrointestinal malformations, and fundoplication failure.…”

Decisions in diagnosing and managing chronic gastroesophageal reflux disease in children

“…In the United States, fundoplication is among the most commonly performed of operations in pediatric surgery, 11,22,59,60 with rates of hospitalization and operation apparently increasing, especially in the 12-to 24-month age group. 11,60 The Pediatric Health Information Survey 11,60 showed that 14% of patients hospitalized for GERD underwent fundoplication without consultation with a gastroenterologist or any form of diagnostic evaluation to prove that GERD was present or to assess its severity.…”

“…11,60 The Pediatric Health Information Survey 11,60 showed that 14% of patients hospitalized for GERD underwent fundoplication without consultation with a gastroenterologist or any form of diagnostic evaluation to prove that GERD was present or to assess its severity.…”

“…6,7 Although many complications of GERD are more prevalent in adults than in children, probably because of the longevity of pathologic reflux, they do occur in children. [8][9][10][11] For GERD that is severe and/or chronic, the major treatment options are medical treatment with proton pump inhibitors (PPIs) or antireflux surgery. In this article, a case presentation is used to illustrate one mode of presentation of GERD and how the approaches to short-and long-term treatment are changing.…”