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Related Experiment Videos

Laparoscopic Nissen fundoplication in children

D M Lloyd1, G S Robertson, J M Johnstone

  • 1Department of Surgery, Leicester Royal Infirmary, United Kingdom.

Surgical Endoscopy
|July 1, 1995
PubMed
Summary

Laparoscopic Nissen fundoplication safely treats severe gastroesophageal reflux (GER) in children when medical treatments fail. This minimally invasive surgery significantly improves symptoms, showing results comparable to traditional methods.

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Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Minimally Invasive Procedures

Background:

  • Gastroesophageal reflux (GER) in children, though rare, presents significant challenges like failure to thrive and vomiting.
  • Medical management for severe pediatric GER is often insufficient, necessitating surgical intervention.
  • Laparoscopic surgery is an established treatment for GER in adults, but its pediatric application requires specific considerations.

Purpose of the Study:

  • To detail the experience of performing laparoscopic Nissen fundoplication in pediatric patients with severe GER.
  • To highlight the technical aspects and pediatric-specific modifications of the laparoscopic procedure.
  • To evaluate the safety and efficacy of laparoscopic Nissen fundoplication in children compared to conventional surgery.

Main Methods:

  • Retrospective review of eight pediatric patients undergoing laparoscopic Nissen fundoplication for refractory GER.
  • Detailed description of surgical techniques, emphasizing differences from adult procedures.
  • Assessment of symptom improvement and procedural safety post-surgery.

Main Results:

  • Laparoscopic Nissen fundoplication was performed safely in all eight pediatric patients.
  • Significant improvement in GER symptoms, including vomiting and failure to thrive, was observed.
  • Outcomes were comparable to those typically achieved with open surgical techniques.

Conclusions:

  • Laparoscopic Nissen fundoplication is a safe and effective treatment for severe pediatric GER unresponsive to medical therapy.
  • The procedure offers significant symptom relief and comparable outcomes to traditional surgery in children.
  • Attention to pediatric-specific technical nuances is crucial for successful laparoscopic fundoplication in this age group.

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