Gastroesophageal Reflux Disease

Pediatr Clin North Am. 2017 Jun;64(3):487-505. doi: 10.1016/j.pcl.2017.01.003.


Gastroesophageal reflux (GER) is a normal physiologic process. It is important to distinguish GER from GER disease (GERD) since GER does not require treatment. Although a diagnosis of GERD can largely be based on history and physical alone, endoscopy and pH impedance studies can help make the diagnosis when there in atypical presentation. In children and adolescents, lifestyle changes and acid suppression are first-line treatments for GERD. In infants, acid suppression is not effective, but a trial of hydrolyzed formula can be considered, as milk protein sensitivity can be difficult to differentiate from GER symptoms.

Keywords: Endoscopy; Extraesophageal symptoms; Gastroesophageal reflux; Impedance; Lifestyle changes; Pediatrics; Proton pump inhibitors.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Child
  • Diagnosis, Differential
  • Electric Impedance
  • Endoscopy
  • Esophagitis, Peptic / diagnosis*
  • Gastroesophageal Reflux / diagnosis*
  • Gastroesophageal Reflux / therapy
  • Humans
  • Hydrogen-Ion Concentration
  • Infant