Gastroesophageal Reflux and Hiatal Hernia

  • Michael E. HöllwarthEmail author
  • Erich Sorantin
Living reference work entry


Gastroesophageal reflux, caused by transient relaxation of the lower esophageal sphincter, is the term used to describe the backflow of gastric content into the esophagus. Pathological reflux disease is a situation in which reflux causes major symptoms and complications such as failure to thrive, disturbances of sleep, recurrent aspiration and cough predominantly in young infants and epigastric pain, esophagitis, stenosis, or Barrett’s esophagus in older children. A variety of diagnostic investigations are necessary to evaluate the extent and consequences of pathological reflux. Conservative management with different medications is widely used. However, in children with chronic gastroesophageal disease, surgical therapy by fundoplication is the treatment of choice.


Gastroesophageal reflux Esophagitis Barrett’s esophagus Fundoplication Hiatus hernia Eosinophilic esophagitis Sandifer syndrome 


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© Springer-Verlag GmbH Germany, part of Springer Nature 2020

Authors and Affiliations

  1. 1.Department of Paediatric and Adolescent SurgeryMedical University of GrazGrazAustria
  2. 2.Department of Pediatric RadiologyMedical University of GrazGrazAustria

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