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Jejunal interposition for recurrent gastroesophageal reflux in children

A R Pasch, T Putnam

    American Journal of Surgery
    |August 1, 1985
    PubMed

    Insights

    Recurrent gastroesophageal reflux after surgery can be challenging. Interposing a jejunal segment shows promising short-term success in pediatric patients, warranting further investigation for this reflux treatment.

    Area of Science:

    • Pediatric surgery
    • Gastroenterology
    • Surgical innovation

    Background:

    • Recurrent gastroesophageal reflux (GER) after initial antireflux surgery presents a significant clinical challenge.
    • Limited data exists on effective surgical strategies for managing post-operative GER recurrence.

    Observation:

    • This study evaluated four pediatric patients experiencing recurrent GER despite prior antireflux procedures.
    • The surgical intervention involved interposition of an isoperistaltic segment of jejunum.

    Findings:

    • The jejunal interposition technique demonstrated excellent short-term outcomes in all four pediatric cases.
    • This surgical approach effectively addressed recurrent GER in the observed patient cohort.

    Implications:

    • Jejunal interposition is a viable surgical consideration for pediatric patients with recurrent GER post-antireflux surgery.
    • Longer-term follow-up is necessary to fully establish the durability and safety of this procedure.

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