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Outcomes of fundoplication for paediatric gastroesophageal reflux disease

E Pascoe1, T Falvey2, A Jiwane3,4

  • 1Sydney Children's Hospital Randwick (SCH), Sydney, Australia. Emily.pascoe@health.nsw.gov.au.

Pediatric Surgery International
|December 10, 2015
PubMed

Insights

Fundoplication surgery for severe gastroesophageal reflux disease (GERD) in children shows mixed results. Many children require anti-reflux medication (ARM) again within six months post-surgery.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology

Background:

  • Gastroesophageal reflux disease (GERD) is a common condition in children.
  • Fundoplication is a surgical procedure to treat severe GERD when medical management fails.

Purpose of the Study:

  • To evaluate the outcomes of fundoplication surgery in children.
  • To identify factors associated with poor outcomes after fundoplication.

Main Methods:

  • Retrospective chart review of 119 children who underwent fundoplication between 2006 and 2013.
  • Outcomes assessed included need for redo fundoplication and recommencement of anti-reflux medication (ARM) at 6-month follow-up.

Main Results:

  • 17.6% of children required redo fundoplication, and 53.8% were recommenced on ARM at 6 months.
  • Post-operative complications occurred in 42.2% of patients.
  • Concurrent gastrostomy was associated with a higher risk of needing ARM post-surgery.

Conclusions:

  • Fundoplication can be effective for severe pediatric GERD.
  • However, a significant proportion of children require ongoing medical management post-surgery.
Abstract

Keywords:
ComplicationsFundoplicationGastroesophageal reflux diseaseMedicationPaediatric

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