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Our aim was to resurvey neonatal practitioners to determine current practice and whether it was now evidence based.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A questionnaire was sent to all 207 <jats:styled-content style=\"fixed-case\">UK<\/jats:styled-content> neonatal units.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Responses were obtained from 84% of units. The most frequent \u2018investigation\u2019 was a trial of therapy (83% of units); <jats:styled-content style=\"fixed-case\">pH<\/jats:styled-content> studies were used in 38%, upper <jats:styled-content style=\"fixed-case\">GI<\/jats:styled-content> contrast studies in 19% and multichannel intraluminal impedance (<jats:styled-content style=\"fixed-case\">MII<\/jats:styled-content>)\/<jats:styled-content style=\"fixed-case\">pH<\/jats:styled-content> studies in 5%. Only six units suggested a threshold for an abnormal <jats:styled-content style=\"fixed-case\">pH<\/jats:styled-content> study and two units for an abnormal <jats:styled-content style=\"fixed-case\">MII<\/jats:styled-content> study. Infants were commenced on antireflux medication without investigation always in 32% of units, often in 29%, occasionally in 19% and only never in 1%. Gaviscon was used as first line treatment in 60% of units, and other medications included ranitidine in 53%, thickening agents in 27%, proton pump inhibitors in 23%, domperidone in 22% and erythromycin in 6%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>There remains a wide variation in diagnostic and treatment strategies for infants with suspected <jats:styled-content style=\"fixed-case\">GOR<\/jats:styled-content> on neonatal intensive care units, emphasising the need for randomised trials to determine appropriate <jats:styled-content style=\"fixed-case\">GOR<\/jats:styled-content> management.<\/jats:p><\/jats:sec>","DOI":"10.1111\/apa.14073","type":"journal-article","created":{"date-parts":[[2017,9,13]],"date-time":"2017-09-13T11:27:32Z","timestamp":1505302052000},"page":"48-51","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Investigation and management of gastro\u2010oesophageal 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