Satisfactory long-term results after Nissen fundoplication.

Area of Science:

• Pediatric Surgery
• Gastroenterology
• Clinical Outcomes Research

Background:

• Growing concern over complications and long-term results of antireflux surgery in pediatric patients.
• Nissen fundoplication is a common surgical procedure for managing gastroesophageal reflux in children.

Purpose of the Study:

• To evaluate parental satisfaction and perceived outcomes following Nissen fundoplication in pediatric patients.
• To assess the long-term efficacy and impact of Nissen fundoplication on children's well-being.

Main Methods:

• Retrospective review of 93 pediatric patients who underwent primary Nissen fundoplication between 1990 and 2001.
• Inclusion criteria: primary Nissen fundoplication; exclusion criteria: none specified.
• Data collection involved medical record review and parental interviews to assess postoperative results.

Main Results:

• A total of 93 children were included, with 51 having neurological impairments and 14 having repaired esophageal atresia.
• Median follow-up was 6.0 years; overall mortality was 13% (5 surgical complications, 8 unrelated).
• 92% of parents reported improved child well-being, 83% were satisfied; 59% experienced reduced pulmonary symptoms, 68% improved sleep quality. 10% required redo Nissen fundoplication.

Conclusions:

• The majority of parents reported satisfaction with the long-term results of Nissen fundoplication.
• Nissen fundoplication demonstrates favorable outcomes and high parental satisfaction in pediatric patients.
• The procedure effectively improves children's well-being, reduces symptoms, and enhances sleep quality.