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Gastroenterology Research and Practice
Volume 2013 (2013), Article ID 863527, 8 pages
http://dx.doi.org/10.1155/2013/863527
Review Article

Surgical Management of Pediatric Gastroesophageal Reflux Disease

1Department of Surgery, The George Washington University School of Medicine & Health Sciences, Washington, DC, USA
2Division of Pediatric Surgery, Department of Surgery, Sheikh Zayed Institute for Pediatric Surgical Innovation, Children’s National Medical Center, Washington, DC, USA
3Surgical Residency Training Program, Children's National Medical Center, Division of Pediatric Surgery, 111 Michigan Avenue, NW Washington, DC 20010-2970, USA

Received 21 December 2012; Revised 11 March 2013; Accepted 27 March 2013

Academic Editor: Deng-Chyang Wu

Copyright © 2013 Hope T. Jackson and Timothy D. Kane. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Gastroesophageal reflux (GER) is common in the pediatric population. Most cases represent physiologic GER and as the lower esophageal sphincter (LES) matures and a solid diet is introduced, many of these patients (>65%) experience spontaneous resolution of symptoms by two years of age. Those who continue to have symptoms and develop complications such as failure to thrive, secondary respiratory disease, and others are classified as having gastroesophageal reflux disease (GERD). Goals of GERD treatment include the resolution of symptoms and prevention of complications. Treatment options to achieve these goals include dietary or behavioral modifications, pharmacologic intervention, and surgical therapy. This paper will review the clinical presentation of GERD and discuss options for surgical management and outcomes in these patients.