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Progress in Pediatric Surgery
|January 1, 1985
Insights
Surgical intervention for pediatric gastroesophageal reflux disease (GERD) showed positive outcomes. A majority of reexamined children experienced relief from GERD symptoms after various surgical procedures, including Nissen fundoplication.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Surgical Outcomes
Background:
- Gastroesophageal reflux (GER) is a common condition in children.
- Surgical intervention is considered for severe or refractory GER.
- Various surgical techniques exist for managing pediatric GER.
Purpose of the Study:
- To evaluate the outcomes of surgical management for pediatric gastroesophageal reflux.
- To assess the effectiveness of different surgical techniques, including Nissen fundoplication.
Main Methods:
- Retrospective review of 32 children undergoing surgery for GER.
- Nissen fundoplication was performed in 14 patients.
- Follow-up reexamination of 21 patients.
Main Results:
- Eighteen out of 21 reexamined patients (85.7%) were symptom-free.
- The study included diverse surgical approaches for GER management.
Conclusions:
- Surgical treatment for pediatric GER can lead to significant symptom improvement.
- Familiarity with multiple operative techniques allows for individualized patient care decisions.
Abstract:
Thirty-two children with gastroesophageal reflux were operated by different techniques which included Nissen's fundoplication in 14 patients. Twenty-one patients could be reexamined, eighteen of whom were without complaints. Being familiar with different operative techniques provides the opportunity to decide from case to case which one to choose.