Abstract
Gastroesophageal reflux is a frequent occurrence in infancy and childhood. When appropriate symptoms are present, accurate diagnosis and treatment assessment can be obtained by a variety of diagnostic studies, most accurately by esophageal pH monitoring. Medical, nonoperative treatment usually is indicated initially if no established complication or life-threatening symptoms exist. When medical treatment is insufficient, operative treatment with fundoplication can be performed with an acceptable complication rate and a high expectation of success.
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