PEDIATRICS Vol. 64 No. 6 December 1979, pp. 974-975
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Letters to the Editor

Dennis L. Christie MD1

1 The Mason Clinic, 1100 Ninth Ave, PO Box 900, Seattle, WA 98111

I disagree with several points stated by Dr Leape.

1. The acid reflux test is still the standard for significant gastroesophageal reflux as has been documented by numerous reports.1-2 Dr Leape states that monitoring of the esophageal pH under physiologic conditions is more reliable and relevant in the pediatric patient. I would like him to tell us how he would do 24-hour pH monitoring in infants and children and make it physiologic without the need for restraints, etc.