Pediatric gastroesophageal reflux: age-specific indications for operation

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Surgical Models of Gastroesophageal Reflux with Mice
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Surgical Models of Gastroesophageal Reflux with Mice

Published on: August 25, 2015

J A Carson, W P Tunell, E I Smith

    American Journal of Surgery
    |December 1, 1980
    PubMed

    Insights

    Nissen fundoplication effectively treats pediatric gastroesophageal reflux, resolving symptoms in most children. This surgical approach is safe and beneficial for pediatric patients experiencing severe reflux complications.

    Area of Science:

    • Pediatric Surgery
    • Gastroenterology
    • Pediatric Medicine

    Background:

    • Pediatric gastroesophageal reflux is a common condition with potentially serious complications.
    • Increased awareness of pediatric-specific symptoms leads to more frequent diagnosis.
    • Children with brain damage or prior esophageal atresia repair are at higher risk.

    Purpose of the Study:

    • To review the outcomes of Nissen fundoplication in pediatric patients with gastroesophageal reflux.
    • To evaluate the safety and efficacy of the surgical procedure in this population.

    Main Methods:

    • Retrospective review of 31 children undergoing Nissen fundoplication.
    • Diagnostic methods included barium meal, isotope scanning, esophagoscopy, and pH monitoring.
    • Indications for surgery were failure to thrive, recurrent pneumonia, apnea, feeding difficulty, and esophageal stricture.

    Main Results:

    • Nissen fundoplication eliminated reflux in 30 out of 31 patients.
    • Symptomatic relief was achieved in 28 patients, with improvement in 2 others.
    • Protective fundoplication was noted as a beneficial adjunct to feeding gastrostomy in brain-damaged children.

    Conclusions:

    • Nissen fundoplication is a safe and effective surgical treatment for pediatric gastroesophageal reflux.
    • The procedure successfully corrects reflux and alleviates associated symptoms in the majority of pediatric patients.
    • Consideration of fundoplication is recommended for high-risk pediatric groups.

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