The data presented by Euler and Ament (Pediatrics 60:65, July 1977) would suggest that the barium esophagram is of no value in the diagnosis of gastroesophageal reflux (GER) in pediatric patients. Seven of their 24 patients with symptoms of GER required surgery (fundoplication). In none of these seven patients did the esophagram show GER. The esophagram showed reflux in only three of the 24 patients.
In our experience the barium esophagram has been very reliable in demonstrating GER. Reflux was demonstrated radiologically in all of the 47 cases requiring surgical fundoplication for relief of symptoms during the past three years at the Boston Floating Hospital.