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Gastroesophageal reflux

J L Lelli1, K W Ashcraft

  • 1Department of Surgery, University of Michigan Medical School, Ann Arbor.

Seminars in Thoracic and Cardiovascular Surgery
|October 1, 1994
PubMed
Summary

Gastroesophageal reflux (GER) significantly impacts pediatric health. The Thal fundoplication is recommended over Nissen fundoplication for GER treatment in children due to a lower complication rate.

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Area of Science:

  • Pediatric Surgery
  • Gastroenterology

Background:

  • Gastroesophageal reflux (GER) is a significant pediatric disease.
  • GER complications, including respiratory, nutritional, and inflammatory issues, profoundly affect infants and children's quality of life.
  • High clinical suspicion is crucial for diagnosing this often-hidden condition.

Purpose of the Study:

  • To compare the efficacy and complication rates of Nissen fundoplication and Thal fundoplication for treating pediatric GER.
  • To determine the preferred surgical approach for managing GER in children.

Main Methods:

  • Comparative analysis of Nissen fundoplication and Thal fundoplication outcomes in pediatric patients.
  • Evaluation of complication rates and maintenance of normal gastroesophageal function post-surgery.

Main Results:

  • Both Nissen and Thal fundoplications are equally successful in treating GER in children.
  • The complication rate associated with Nissen fundoplication is higher than that of Thal fundoplication.

Conclusions:

  • Thal fundoplication is an effective treatment for pediatric GER.
  • Thal fundoplication offers a lower complication rate compared to Nissen fundoplication while preserving normal gastroesophageal function.
  • Thal fundoplication is the preferred surgical option for GER in the pediatric population.

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