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Satisfactory long-term results after Nissen fundoplication
C Kristensen1, T Avitsland, R Emblem
1Surgical Department, Faculty Divisional Rikshospitalet, Faculty of Medicine, University of Oslo, Norway.
Insights
Parental assessment of Nissen fundoplication in children shows high satisfaction. Most parents reported improved well-being and reduced symptoms, indicating positive long-term outcomes for antireflux surgery.
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.
Background:
Complications and unsatisfactory long-term results after antireflux surgery in children have received increased attention. The aim of this study was to report parental assessment of outcome after Nissen fundoplication.
Methods:
Ninety-three patients operated with primary Nissen fundoplication between 1990 and 2001 were included. Medical records were reviewed, and parents were interviewed for evaluation of postoperative results.
Results:
Of the 93 children, 51 were neurologically impaired and 14 children had repaired esophageal atresia. Median follow-up time was 6.0 years. Total mortality for the patient population was 13%. Five children died as a complication of the surgery, whereas eight deaths were unrelated to the Nissen fundoplication. Ninety-two percent of the parents reported better well-being of the child after the Nissen fundoplication, and 83% were completely satisfied with the postoperative results. Pulmonary symptoms were reduced in 59%, and quality of sleep improved in 68% of the children. Nine children (10%) had been operated with a redo NF.
Conclusion:
The majority of parents were satisfied with the long term results of the Nissen fundoplication.
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