Surgical Management of Pediatric Gastroesophageal Reflux Disease
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...
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| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Gastroenterology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2013/863527 |
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| _version_ | 1841524823892688896 |
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| author | Hope T. Jackson Timothy D. Kane |
| author_facet | Hope T. Jackson Timothy D. Kane |
| author_sort | Hope T. Jackson |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-6d53dc5856504554bc534357e760af74 |
| institution | Kabale University |
| issn | 1687-6121 1687-630X |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Gastroenterology Research and Practice |
| spelling | doaj-art-6d53dc5856504554bc534357e760af742025-02-03T05:47:18ZengWileyGastroenterology Research and Practice1687-61211687-630X2013-01-01201310.1155/2013/863527863527Surgical Management of Pediatric Gastroesophageal Reflux DiseaseHope T. Jackson0Timothy D. Kane1Department of Surgery, The George Washington University School of Medicine & Health Sciences, Washington, DC, USADivision of Pediatric Surgery, Department of Surgery, Sheikh Zayed Institute for Pediatric Surgical Innovation, Children’s National Medical Center, Washington, DC, USAGastroesophageal 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.http://dx.doi.org/10.1155/2013/863527 |
| spellingShingle | Hope T. Jackson Timothy D. Kane Surgical Management of Pediatric Gastroesophageal Reflux Disease Gastroenterology Research and Practice |
| title | Surgical Management of Pediatric Gastroesophageal Reflux Disease |
| title_full | Surgical Management of Pediatric Gastroesophageal Reflux Disease |
| title_fullStr | Surgical Management of Pediatric Gastroesophageal Reflux Disease |
| title_full_unstemmed | Surgical Management of Pediatric Gastroesophageal Reflux Disease |
| title_short | Surgical Management of Pediatric Gastroesophageal Reflux Disease |
| title_sort | surgical management of pediatric gastroesophageal reflux disease |
| url | http://dx.doi.org/10.1155/2013/863527 |
| work_keys_str_mv | AT hopetjackson surgicalmanagementofpediatricgastroesophagealrefluxdisease AT timothydkane surgicalmanagementofpediatricgastroesophagealrefluxdisease |