Persistent and severe acid reflux left untreated can cause several long-term complications in many patients. Patients can experience erosive esphagitis (severe inflammation of the esophagus), severe narrowing of the esophagus and Barrett's esophagus. Some patients even experience weakening of tooth enamel and issues with the throat and airway.
I have been asked many times by parents to define aspiration in reference to GERD and how to prevent it. Aspiration occurs in 10-20% of patients with GERD and is the inhalation of stomach contents into the respiratory symptoms. The lumen of the right main broncus of the lung is most likely to be where aspirated contents wind up because it is…