PMID: 9552139Apr 29, 1998Paper

Functional results of laparoscopic fundoplication in children

Journal of Pediatric Gastroenterology and Nutrition
J A TovarM Molina

Abstract

There is no evidence that the results of laparoscopic fundoplication in children match those of the open procedure. In the current report, pre- and postoperative function of the antireflux barrier is examined in children having laparoscopic fundoplication for gastroesophageal reflux. Twenty-seven patients with gastroesophageal reflux, aged 7.2+/-4.5 years, were operated on for unremitting gastrointestinal symptoms (n = 24), with respiratory tract disease (n = 11), cystic fibrosis (n = 2), or brain damage (n = 11). Gastrostomy was added in 5 cases. Barium contrast study, pH-metering, endoscopic examination, and biopsy were performed before and after a median of 19 months (range, 8 to 46) after operation. At diagnosis, 15 of 21 patients had esophagitis that was moderate or severe in 11 (1 with Barrett's esophagus). Symptoms disappeared after fundoplication in all but 2 patients, in whom they became milder. The reflux index decreased from 20.2+/-20% to 4.9+/-9% and became normal in all except 4 children (2 with brain damage and 1 with cystic fibrosis). Open repair of the failed wrap was considered necessary in only 1 of them. Laparoscopic fundoplication is as effective as the open procedure (14% overall failure rate). However, the...Continue Reading

References

Feb 1, 1992·Journal of Pediatric Surgery·D A MartinezD A Caniano
Jul 1, 1995·Surgical Endoscopy·D M LloydJ M Johnstone
Sep 1, 1995·Surgical Endoscopy·D C van der Zee, N M Bax
Dec 1, 1994·European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [et Al] = Zeitschrift Für Kinderchirurgie·F Schier, J Waldschmidt
Mar 1, 1993·Journal of Pediatric Surgery·T E LobeK Lunsford
Nov 1, 1995·Surgical Endoscopy·D C van der Zee, N M Bax
Apr 1, 1996·Journal of Pediatric Surgery·G M Humphrey, A S Najmaldin
Feb 1, 1996·Journal of Pediatric Surgery·L A Martinez-FrontanillaD P Meagher
Mar 1, 1997·Journal of Pediatric Surgery·J J Meehan, K E Georgeson

❮ Previous
Next ❯

Citations

Mar 1, 2000·Gastroenterology Clinics of North America·S R OrensteinS Khan
Jan 13, 2000·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·S J WalkerN Birbeck
May 3, 2000·Paediatric Anaesthesia·D A Rowney, L M Aldridge
Aug 30, 2001·Journal of Pediatric Gastroenterology and Nutrition·C D RudolphUNKNOWN North American Society for Pediatric Gastroenterology and Nutrition
Feb 18, 2014·Archives of Disease in Childhood·Maurizio PacilliAgostino Pierro
Oct 31, 2002·Seminars in Pediatric Surgery·Daniel J Ostlie, George W Holcomb
Jun 5, 2003·Pediatrics·Jeffrey L Zitsman

❮ Previous
Next ❯

Related Concepts

Related Feeds

Barrett Esophagus

Barrett’s esophagus if a serious complication of gastroesophageal reflux disease during which the normal esophageal lining changes to tissue that resembles intestinal lining. Here is the latest research.