Abstract
Gastroesophageal reflux (GER) is common among infants, but when symptoms become troublesome, that is defined as gastroesophageal reflux disease (GERD). Making a diagnosis of GERD is difficult because there is no gold standard. GERD can be especially problematic for infants with cystic fibrosis (CF). There are signs and symptoms (ie, malnutrition, recurring aspiration pneumonias, refusal to eat, wheezing, coughing, and asthma) in addition to invasive and noninvasive methods used to determine a diagnosis. The treatments for GERD span from nonpharmacological to surgical, with a laparoscopic Nissen fundoplication being the gold standard of surgical intervention. Although surgical interventions have been demonstrated to reduce symptoms associated with GERD, there is little known about the weight/growth-related outcomes. This case report discusses an infant with CF and GERD requiring multiple interventions and ultimately a laparoscopic Nissen fundoplication and the weight changes from presurgery to postsurgery. The case report is expanded upon with a structured literature review of fundoplication and growth studies. There were 4 available studies that assessed changes in weight/growth before and after fundoplication among children wi...Continue Reading
References
Oct 1, 1965·Bulletin of the Chemical Society of Japan·K Fukui, M Nakayama
Aug 21, 2007·Journal of Pediatric Surgery·R Paul Boesch, James D Acton
Apr 30, 2008·Journal of the American Dietetic Association·Virginia A StallingsUNKNOWN Ad Hoc Working Group
Sep 12, 2009·Journal of Pediatric Gastroenterology and Nutrition·Yvan Vandenplas European Society for Pediatric Gastroenterology Hepatology and Nutrition
Jan 15, 2011·Annals of Surgery·Rainer KubiakHugh W Grant
Jul 30, 2011·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Femke A MauritzDavid C van der Zee
Jul 11, 2012·The American Journal of Gastroenterology·Ans PauwelsDaniel Sifrim
Sep 6, 2012·Pediatric Pulmonology·Shahid I SheikhKaren S McCoy
Nov 5, 2013·Jornal de pediatria·Cristina Targa FerreiraLuciana Rodrigues Silva
Apr 23, 2014·Pediatric Pulmonology·Erik A JensenHaresh Kirpalani
Apr 29, 2014·Clinical Pharmacology & Biopharmaceutics·Nicole Del CastilloChadi Calarge
Jun 26, 2014·Annals of the American Thoracic Society·Newell Bryce Robinson, Emily DiMango
Mar 11, 2015·Archives of Disease in Childhood·John W Puntis
Jul 3, 2016·Surgical Endoscopy·Femke A MauritzM Y A van Herwaarden-Lindeboom
Oct 12, 2017·World Journal of Surgery·Chaeyoun OhSung-Eun Jung
Feb 23, 2018·Journal of Pediatric Gastroenterology and Nutrition·Rachel RosenMerit Tabbers
Mar 23, 2019·Pediatric Gastroenterology, Hepatology & Nutrition·Jeaneth Indira Gonzalez AyerbeYvan Vandenplas