Gastro-oesophageal reflux disease in children and young people: diagnosis and management

Recommendation ID: NG1/3
Question: In infants, children and young people with overt or occult reflux, is fundoplication effective in reducing acid reflux as determined by oesophageal pH monitoring?
Any explanatory notes (if applicable): Fundoplication is used to manage severe GORD. At present, there is limited evidence that overt regurgitation is reduced after surgery. However, this has not been objectively measured. In addition, the effect of surgery on occult reflux has not been assessed. This is important because surgery may be masking a continuing problem. The proposed study would monitor regurgitation before and after fundoplication using oesophageal pH monitoring. This may help health professionals identify which infants, children and young people will benefit from surgery.

Source guidance details

Comes from guidance: Gastro-oesophageal reflux disease in children and young people: diagnosis and management
Number: NG1
Date issued: January 2015

Is this a recommendation for the use of a technology only in the context of research?	No
Is it a recommendation that suggests collection of data or the establishment of a register?	No
Last Reviewed	09/02/2015