Evaluation of Gastroesophageal Reflux Disease One Year after Esophageal Atresia Repair: Paradigms Lost from a Single Snapshot?

Study of 48 one-year-old children post-esophageal atresia repair found 69% had microscopic esophagitis but only 25% had pathological acid exposure, challenging the assumption that acid reflux causes esophagitis in this population. Results suggest chronic esophageal stasis from dysmotility may drive histological changes more than acid-induced GERD.