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Laparoscopic fundoplication and gastrostomy

Daniel J Ostlie1, George W Holcomb

  • 1Department of Surgery, Children's Mercy Hospital, Kansas City, MO 64108, USA.

Seminars in Pediatric Surgery
|October 31, 2002
PubMed

Insights

Laparoscopic Nissen fundoplication is a minimally invasive surgical option for pediatric gastroesophageal reflux (GER) disease. This approach offers benefits like shorter hospital stays and less discomfort compared to open surgery.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Minimally Invasive Techniques

Background:

  • Gastroesophageal reflux (GER) disease is a common condition in infants and children.
  • Medical management fails for some pediatric GER patients, necessitating surgical intervention.
  • Minimally invasive surgery is increasingly preferred for pediatric conditions.

Purpose of the Study:

  • To discuss the pathophysiology, clinical manifestations, and diagnostic evaluation of pediatric GER.
  • To describe the laparoscopic Nissen fundoplication technique for pediatric GER.
  • To highlight the advantages of minimally invasive approaches in pediatric surgery.

Main Methods:

  • Review of GER pathophysiology and clinical presentation.
  • Description of diagnostic evaluation for pediatric GER.
  • Detailed explanation of the laparoscopic Nissen fundoplication surgical technique.

Main Results:

  • Laparoscopic Nissen fundoplication is a viable alternative to open surgery for pediatric GER.
  • This minimally invasive approach offers reduced hospitalization and discomfort.
  • Cosmetic advantages are also noted compared to open procedures.

Conclusions:

  • Laparoscopic Nissen fundoplication is becoming the standard of care for refractory pediatric GER.
  • The technique provides significant benefits for infants and children.
  • Minimally invasive surgery is transforming pediatric surgical practices.

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