TABLE 11

Complications of GER

Symptoms
 Recurrent vomiting
 Weight loss or poor weight gain
 Irritability in infants
 Regurgitation
 Heartburn or chest pain
 Hematemesis
 Dysphagia or feeding refusal
 Apnea or ALTE
 Wheezing or stridor
 Hoarseness
 Cough
 Abnormal neck positioning (Sandifer syndrome)
Findings
 Esophagitis
 Esophageal stricture
 Barrett’s esophagus
 Laryngitis
 Recurrent pneumonia
 Hypoproteinemia
 Anemia
  • ALTE indicates apparent life-threatening events.

  • Reprinted with permission from Rudolph CD, Mazur LJ, Liptak GS, et al; North American Society for Pediatric Gastroenterology and Nutrition. J Pediatr Gastroenterol Nutr. 2001;32(suppl 2):S4.