Long-term quantitative results following fundoplication and antroplasty for gastroesophageal reflux and delayed gastric emptying in children

American Journal of Surgery
J C DunnE W Fonkalsrud

Abstract

The operative management of children with combined gastroesophageal reflux and delayed gastric emptying is controversial. This study measures the long-term follow-up of gastric emptying in children who have undergone gastroesophageal fundoplication combined with antroplasty. Fifteen randomly selected children with gastroesophageal reflux and scintigraphically demonstrated delayed gastric emptying underwent fundoplication and antroplasty. Each patient had another gastric emptying scintigraphic study performed an average of 3.6 years postoperation. All patients reported improvement of their symptoms compared with before the operation, and none required further medical therapy for gastroesophageal reflux or experienced dumping syndrome. Eleven of the 15 patients had significant long-term improvement of their gastric emptying postoperatively. The mean percent of isotope meal remaining in the stomach at 90 minutes improved from 72% preoperatively to 40% postoperatively (P = 0.0005). Gastric emptying in children with gastroesophageal reflux and delayed gastric emptying is significantly improved for several years in three-fourths of patients after fundoplication and antroplasty. Fundoplication and concomitant antroplasty are recommend...Continue Reading

References

Apr 1, 1989·Journal of Pediatric Surgery·J R CampbellM W Harrison
Jun 1, 1989·Journal of Pediatric Surgery·E W FonkalsrudJ Vargas
Jul 1, 1987·American Journal of Surgery·E W FonkalsrudR P Foglia
Feb 1, 1987·American Journal of Surgery·G K DedinskyJ L Grosfeld
Mar 1, 1985·Annals of Surgery·G J Maddern, G G Jamieson
May 1, 1980·The Journal of Pediatrics·T S ArasuJ L Grosfeld
Jun 1, 1995·Journal of Pediatric Surgery·J M Bustorff-SilvaL S Leonardi
May 1, 1994·Journal of Pediatric Surgery·N L KazerooniA G Coran

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Citations

May 25, 2005·Pediatric Surgery International·Savaş DemirbilekErsoy Kekilli
Jan 4, 2001·American Journal of Surgery·D G Johnson
Oct 2, 1998·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a
Jun 5, 2007·Seminars in Nuclear Medicine·James Claude Warrington, Martin Charron
Nov 9, 2016·Journal of Pediatric Surgery·Tim JancelewiczAdam B Goldin
Dec 20, 2019·Neurogastroenterology and Motility : the Official Journal of the European Gastrointestinal Motility Society·Katja KovacicMiguel Saps

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