Gastroesophageal Reflux Disease

Signs and Symptoms

Gastroesophageal reflux is a condition in which the contents of the stomach flow back into the esophagus (foodpipe).

Symptoms of gastroesophageal reflux include vomiting, heart burn, narrowing of the esophagus, recurrent pneumonia, breathing problems and slow growth.

Diagnosis

Your child may have one or more tests confirming this condition, such as a pH probe study or esophogram.

Treatment

Fundoplication is a surgical procedure recommended for children who have complications or persistent symptoms related to gastroesophageal reflux that are not improved by medications taken by mouth.

This operation is accomplished by wrapping the upper portion of the stomach around the lower portion of the esophagus, tightening the outlet of the esophagus as it empties into the stomach. After fundoplication, food and fluids can pass into the stomach but are prevented from backing up into the esophagus. In most cases, fundoplication can be performed by a pediatric surgeon using a small telescope and miniaturized instruments placed through three to four Band-Aid sized incisions on the abdomen. Typically, a large incision isn't required.

Fundoplication is performed in two to three hours with a two to three day hospital stay following surgery. During your child's hospitalization, he or she will receive intravenous fluids and pain medication. As soon as your child feels well enough, he or she will be allowed to eat, drink and take pain medication orally (usually one to two days after surgery). In some patients a gastrostomy tube is placed into the stomach, at the time of the fundoplication to allow feedings to be administered and air to be released.