Chorney SR, et al. - Using a nationwide database, researchers sought to investigate outcomes after tonsillectomy among children with gastroesophageal reflux (GER) and to analyze the duration of hospitalization and total charges after admission. In total, 21,232 children had a tonsillectomy with or without adenoidectomy, with 1,683 (7.9%) diagnosed with GER. Patients with reflux were more likely to develop respiratory complications, aspiration pneumonitis, and hypoxemia during their hospital course. In addition, noninvasive ventilation and reintubation occurred more frequently in this population. Children with reflux required more postoperative care (3.8 vs 2.3 days) and had higher total hospital charges ($47,129 vs. $27,584). Children with GER had a significantly higher risk of inpatient complications following tonsillectomy. Such findings suggest that children with GER have poorer outcomes after tonsillectomy, emphasising the importance of appropriate preoperative counseling and planning in this patient population.