Gastroesophageal Reflux Disease

This podcast is a multidisciplinary discussion on a controversial topic, management of pediatric Gastroesophageal Reflux Disease, amongst Dr. Todd Ponsky, Dr. Rachel Rosen, and Dr. George "Whit" Holcomb. Dr. Rachel Rosen is Director of the Aerodigestive Center and Pediatric Gastroenterologist at Boston Children's Hospital, and Associate Professor of Pediatrics at Harvard Medical School. Dr. George "Whit" Holcomb is the Senior Vice President at Children's Mercy Hospital, Director of the Center for Minimally Invasive Surgery, Professor of Pediatric Surgery at University of Missouri-Kansas City School of Medicine, and Editor in Chief of the Journal of Pediatric Surgery. Time stops: Introduction| 00:24:00 Work up of a patient with GERD like symptoms| 02:50:27 Esophagoscopy| 08:22:11 Normal Endoscopy - What next | 15:57:17 Management of "suspected GERD" who are unable to feed | 24:40:07 pH impedance testing| 40:07:14 When to do surgery? | 43:15:25 Neurological impairment | 50:21:22 Botox injections | 53:43:15 The perfect Fundoplication | 56:23:15 Post Nissen Retching | 61:32:28 Pyloroplasty | 64:17:00 Gastric stimulation| 65:17:00 Transoral Incisionless Fundoplication | 66:06:02 Failed fundoplication| 70:11:02 Esophageal dissociation| 75:25:11 Ruminators| 77:51:13 Conclusion | 80:00:20 Intro track is adapted from "I dunno" by grapes, featuring J Lang, Morusque. Artist URL: ccmixter.org/files/grapes/16626