Pediatric Gastroesophageal Reflux Clinical Practice Guidelines: Joint Recommendations of the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition (NASPGHAN) and the European Society for Pediatric Gastroenterology, Hepatology, and Nutrition (ESPGHAN)

. Author manuscript; available in PMC: 2019 Mar 1.

Published in final edited form as: J Pediatr Gastroenterol Nutr. 2018 Mar;66(3):516–554. doi: 10.1097/MPG.0000000000001889

GER:	the passage of gastric contents into the esophagus with or without regurgitation and vomiting.
GERD:	when GER leads to troublesome symptoms and/or complications.
Refractory GERD:	GERD not responding to optimal treatment after eight weeks.