Is there a changing trend in surgical management of gastroesophageal reflux disease in children?

Table 1 Clinical manifestations of GORD[11]

	GOR	GORD
Symptoms	'Happy sitter'	Regurgitation/persistent vomiting/feeding refusal/ hypersalivation
		Arching/irritability/persistent crying
	Regurgitation	Abdominal pain/heart burn/ hematemesis/chest pain
	Vomiting but thriving	Sleep disturbance
		Silent reflux- stridor, wheezing, cough
		Sandifer’s syndrome - head turning episodes to lengthen the oesophagus and LES pressure; repetitive stretching and arching, which gives the appearance of seizure/dystonia
Complications	GORD	Esophagitis/failure to thrive
	Esophagitis	Reactive airway disease/ recurrent pneumonia
		Apnoea/bradycardia/acute life threatening events
		Barrett’s esophagus/esophageal ulceration and perforation/ stricture formation
		Anaemia/seizure