Gastroesophageal reflux disease

Abstract

Gastroesophageal reflux is a common condition in infants and young children, but is most usually asymptomatic or self-limiting. A subset of children, however, develop gastroesophageal reflux disease, in which the reflux becomes pathologic. GERD can result in discomfort, growth failure, respiratory complications, or an apparent life-threatening event. Antireflux surgery provides effective control when medical treatment fails. However, postoperative complications are not uncommon, and an understanding of the underlying physiology is invaluable in selecting patients appropriate for surgical intervention and the management of postoperative symptoms.