Bowel Sounds: Rachel Rosen, MD - Gastroesophageal Reflux Disease in Children

In this episode, hosts Dr. Peter Lu and Dr. Jason Silverman talk to Dr. Rachel Rosen about one of the most common problems we see as pediatric gastroenterologists (or as pediatricians): gastroesophageal reflux disease or GERD. She explains how she approaches the evaluation and management of babies who spit up frequently and why all that spits up is not GERD. We also talk about the care of older children and adolescents who have GERD, including those with GERD symptoms that persist despite a trial of acid suppression. She discusses the value of pH-impedance testing and also explains why she is cautious about recommending anti-reflux surgery.

Dr. Rosen is a pediatric gastroenterologist at Boston Children's Hospital, Director of their Aerodigestive Center, and an Associate Professor at Harvard Medical School. She is also the first author of the 2018 NASPGHAN and ESPGHAN guidelines on the evaluation and management of children with GERD.

Produced by: Peter Lu, MD

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