Abstract
Gastroesophageal reflux (GER) is a common pediatric problem which is not perceived adequately by parents and medical providers. Clinical manifestations such as regurgitation of unprocessed milk, poor weight gain, and respiratory symptoms should alert the physician about this disorder. Endoscopy, 24 hour esophageal pH monitoring, the upper GI series, and scintigraphy are among the used diagnostic modalities of this disorder. Prompt diagnosis and medical or surgical treatment with antireflux procedures as needed can prevent its complications such as Barrett's esophagus and stricture. In this article we present an 18 month old patient who developed severe esophageal stricture as a complication of prolonged GER because of delayed diagnosis, and underwent a previous unsuccessful antireflux procedure, treated with colon interposition procedure at Tabriz Imam Khomeini Hospital.