Correlation of esophageal lengths in children with height: Application to the Tuttle test without prior esophageal manometry

The complications that occurred during acid reflux testing were minimal. However, the potential for aspiration of instilled acid exists and HC1 should be removed from those infants found to have gross GER or from those whose symptoms have been apnea or recurrent pneumonia. In spite of the potential difficulties in the acid reflux test, it still is the most sensitive indicator for GER. Until other methods are devised, this test should be considered in any patient thought to have significant GER.