Diagnosis and management of gastroesophageal reflux in the pediatric patient.
In the diagnosis of gastroesophageal reflux, no one diagnostic test is sufficiently reliable to use alone in the determination and evaluation of significant gastroesophageal reflux. When two or more studies are positive, then significant gastroesophageal reflux is present. Both the barium examination and the Tuttle test had a higher percentage of positive studies, than did the manometric examination. In those patients who do not respond to medical management, surgery provided a significant cure rate, with no mortality in the group examined and an extremely low rate of morbidity.
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D005764:Gastroesophageal Reflux / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery / Q000628:therapy; D006801:Humans; D006863:Hydrogen-Ion Concentration; D007223:Infant; D008297:Male; D008365:Manometry; D011859:Radiography