胃食管反流为婴儿和儿童反复呕吐、生长障碍、反复肺部感染与哮喘的常见原因。本文报导洛山矶医疗中心270例症状性胃食管反流外科治疗的经验。临床资料:270例胃底折叠术,其中148例(55%)<1岁,最小12天,最大18岁。伴有内科症状者145例(54%)。270例患儿的主要临床症状为反复呕吐(92%)、肺炎或反复呼吸道感染(46%)、生长障碍(34%)、哮喘(16%)、食管狭窄引起吞咽困难(6%)、 Gastroesophageal reflux is a common cause of recurrent vomiting, growth disorders, repeated lung infections, and asthma in infants and children. This article reports 270 cases of symptomatic gastroesophageal reflux surgical treatment in Los Angeles Medical Center. Clinical data: 270 cases of fundoplication, of which 148 cases (55%) <1 year old, minimum 12 days, maximum 18 years old. 145 cases (54%) with medical symptoms. The main clinical symptoms of 270 children were vomiting (92%), pneumonia or recurrent respiratory infections (46%), growth disorders (34%), asthma (16%), dysphagia caused by esophageal stenosis (6%