Pediatric GERD

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Expires May 31, 2014

As with US adults, infants and children appear to be at increased risk for gastroesophageal reflux disease (GERD). Lacking a cardinal symptom in children and often linked with confounding extra-esophageal symptoms, pediatric GERD challenges the primary care clinician to make an early diagnosis, preventing progressive damage and possible complications. Management begins with conservative lifestyle changes; pharmacologic and surgical options are reserved for specific pediatric patients.



CE/CME No: CR-1305

Earn credit by reading this article and successfully completing the posttest. Successful completion is defined as a cumulative score of at least 70% correct.

• Differentiate between gastroesophageal reflux and gastroesophageal reflux disease (GER and GERD, respectively) in the pediatric patient, including symptomatology and risk factors.
• Explain typical and atypical presentations of GERD as factors in the differential diagnosis.
• Describe diagnostic testing options for GERD and their appropriate use in infants and children with suspected GERD.
• Discuss age-appropriate strategies to reduce the symptoms of GERD in children, including lifestyle changes and pharmacologic and surgical options.

Ellen D. Mandel is Clinical Associate Professor in the Pace University Physician Assistant Program in New York City, and Associate Professor in the Physician Assistant Program at Seton Hall University in South Orange, New Jersey. Claudia Ashforth and Kristine Daugherty are students in the Pace University Lenox Hill Hospital Physician Assistant Program.

The authors have no significant financial relationships to disclose.


This program has been reviewed and is approved for a maximum of 1.0 hour of American Academy of Physician Assistants (AAPA) Category I CME credit by the Physician Assistant Review Panel; and by the Nurse Practitioner Association New York State (The NPA) for 1.0 contact hour. Approval is valid for one year from the issue date of May 2013.

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