Gastroesophageal Reflux and Pulmonary Disease

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Abstract
Chronic respiratory disease is a well-established complication of gastroesophageal reflux (GER).1-3 The elucidation of the relationship between the two events is hampered by the lack of a reliable test that indicates the presence or absence of GER and the lack of a test that consistently demonstrates that the pulmonary symptoms are directly caused by GER.4 In addition, GER may only contribute to the severity of the pulmonary disease, as in chronic asthma.5 In this issue of Pediatrics, Berquist et al describe their experience in evaluating 82 patients for GER who also had recurrent pneumonia or asthma.6 This article is of great value to clinicians who must care for these complex cases.

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