ABSTRACT
A 3-year-old girl is sent to you by a gastroenterologist to be evaluated for surgical treatment of gastroesophageal reflux disease (GERD). The patient is an ex-26-week premature infant, who was discharged from the NICU at 48 weeks corrected postconceptual age. Complications of her prematurity included a patent ductus arteriosus that was surgically closed, a nonsurgical episode of necrotizing enterocolitis, a unilateral grade III intraventricular hemorrhage, and bronchopulmonary dysplasia requiring a prolonged period of mechanical ventilation followed by a transient period of oxygen dependence after NICU discharge. Currently, she has mild-to-moderate developmental delay and reactive airway disease, but is verbal, ambulatory, and feeding orally.
