[Skip to Content]
[Skip to Content Landing]
September 1977

Gastroesophageal Reflux

Author Affiliations

Department of Pediatrics Division of Pediatric Gastroenterology University of California The Center for the Health Sciences Los Angeles, CA 90024

Am J Dis Child. 1977;131(9):1035. doi:10.1001/archpedi.1977.02120220101020

Sir.—Dr Herbst and co-workers, in the November 1976 issue of the Journal (130:1256, 1976), reported on three children with gastroesophageal reflux (GER), protein-losing enteropathy, and finger clubbing. This valuable documentation again shows the severe consequences of chronic GER in the pediatric-aged patient.

I would like to ask the authors the following questions about their article:

  1. Did the history or physical examination suggest the presence of pulmonary disease? What studies besides chest roentgenograms were done to exclude GER-associated pulmonary disease?

  2. 2. Did you demonstrate sufficient intake of food or was caloric deprivation a contributing cause to the hypoalbuminemia? Did 51Cr studies postoperatively demonstrate a cessation in stool loss in association with a rise in serum albumin level?

  3. 3. Was there a fall-off in height and weight growth prior to surgery and a resumption of normal growth postoperatively?

  4. 4. At what point in the gastrointestinal tract did protein loss occur

First Page Preview View Large
First page PDF preview
First page PDF preview