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Gastro-oesophageal Reflux Disease 317

Key Summary Points
1. Gastro-oesophageal reflux is common in newborns and not 3. Laparoscopic or open fundoplication is the operative
necessarily related to disease pathology. Gastro-oesophageal procedure of choice, with a relatively good outcome,
reflux disease is more common in neurologically impaired especially in neurologically normal children. There is a higher
children and those with congenital abnormalities of the upper incidence of complications and recurrences in neurologically
GI tract. impaired children.
2. Conservative and medical therapies are the mainstay
of management, and surgery is reserved for those with
complications and the need for ongoing maximal medical
treatment.

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