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Updated: Oct 13, 2026

Surgical Models of Gastroesophageal Reflux with Mice
Published on: August 25, 2015
[Diagnosis and treatment of gastroesophageal reflux in children]
Insights
This study analyzed 643 children with gastroesophageal reflux, detailing surgical outcomes. A novel surgical approach combining fundoplication and gastropexy showed no recurrences in 43 cases.
Area of Science:
- Pediatric Surgery
- Gastroenterology
Context:
- Gastroesophageal reflux (GER) is a common condition in children.
- Treatment strategies range from conservative management to surgical intervention.
- Reflux-esophagitis can be associated with complications like esophageal stenosis.
Purpose:
- To analyze treatment outcomes for 643 children with gastroesophageal reflux.
- To describe anesthetic methods and conservative treatment protocols.
- To evaluate a novel surgical technique for refractory GER and associated conditions.
Summary:
- A retrospective analysis of 643 pediatric patients with GER was conducted.
- Indications for surgery included hiatal hernias, cerebral palsy with reflux-esophagitis, and failed conservative treatment.
- A combined fundoplication, posterior gastropexy, and esophageal fixation technique was employed in 43 patients with no recurrences.
- Esophageal stenosis with Barrett's esophagus was managed with resection and reconstruction using colonic or local tissue grafts in 10 patients.
Impact:
- The proposed surgical method demonstrates promising results with no recurrence in the treated cohort.
- Provides insights into surgical management of complex pediatric GER cases.
- Highlights the importance of tailored surgical approaches for GER with complications.
Abstract:
The work is based on an analysis of results of treatment of 643 children with gastroesophageal reflux (operations were performed on 69 of them). Methods of anesthesia are described. Conservative treatment was used in correlation with the degree of reflux-esophagitis. Indications to operations were considered to be as follows: hiatal hernias, reflux-esophagitis in children with cerebral paralysis, failure of conservative treatment in the group of children having no anatomical causes of the reflux. A method of surgical treatment is proposed including a combination of fundoplication with the posterior gastropexy and fixation of the esophagus to the diaphragm at a distance of 3 cm from the gastric cuff (43 cases, no recurrences). In patients with a combination of gastroesophageal reflux with the esophagus stenosis resection of the altered portion was made followed by plasty with a colonic transplant or local tissues (10 patients with the diagnosed Barrett esophagus).
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