“…Although the rate of GERD in CDH patients varies according to study designs, nearly 40 % of CDH survivors are thought to have symptomatic GERD, and half of them require antireflux surgery [1]. Meanwhile, some reports have revealed that natural history of GERD associated with CDH has the tendency to resolve without surgery, as well as isolated GERD [9,14,15]. In this study, 11 % of total cases underwent surgery by the age of 2 years, while 60 % of patients who had medical therapies for GERD completed it by the age of 3 years.…”