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[Laparoscopic treatment for gastroesophageal reflux in children]

M de Diego1, J L Peiró, F Vallribera

  • 1Unidad de Cirugía Pediátrica, Hospital de Terrasa, Barcelona.

Cirugia Pediatrica : Organo Oficial De La Sociedad Espanola De Cirugia Pediatrica
|June 10, 2003
PubMed

Insights

Laparoscopic surgery for pediatric gastroesophageal reflux (GER) using Boix-Ochoa or Nissen techniques effectively resolves symptoms. Postoperative outcomes show normal pHmetry and reduced dysphagia with the Boix-Ochoa method.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Surgical Innovation

Context:

  • Laparoscopic antireflux surgery is a common treatment for pediatric gastroesophageal reflux (GER).
  • Evaluating different surgical techniques is crucial for optimizing patient outcomes.
  • Long-term efficacy and side effect profiles require ongoing assessment.

Purpose:

  • To evaluate the safety and efficacy of laparoscopic antireflux procedures in pediatric patients.
  • To compare the outcomes of the Boix-Ochoa technique versus Nissen fundoplicature for GER.
  • To assess postoperative symptoms, pHmetry, and esophageal manometry findings.

Summary:

  • Five pediatric patients (ages 6-16) with GER underwent laparoscopic surgery.
  • Three patients received the Boix-Ochoa technique, and two received the Nissen fundoplicature.
  • All patients demonstrated normal 24-hour pHmetry and absence of vomiting/pyrosis at 3 months post-op. Postoperative dysphagia appeared less frequent with the Boix-Ochoa technique.

Impact:

  • Provides evidence for the successful application of laparoscopic antireflux surgery in children.
  • Suggests the Boix-Ochoa technique may offer advantages in reducing postoperative dysphagia.
  • Contributes to the understanding of surgical management for pediatric GER.

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