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[Nissen fundoplication for gastroesophageal reflux in children]

I Samuk1, R Afriat, B Klin

  • 1Pediatric Surgery Dept., Assaf Harofeh Medical Center, Zerifin.

Harefuah
|March 15, 1994
PubMed

Insights

Nissen fundoplication is effective for severe gastroesophageal reflux in children, but a high complication rate necessitates re-evaluation of surgical indications and patient selection for this procedure.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology

Context:

  • Severe gastroesophageal reflux disease (GERD) in children poses significant management challenges.
  • Nissen fundoplication is a surgical option for refractory pediatric GERD.

Purpose:

  • To evaluate the efficacy and safety of Nissen fundoplication in pediatric patients.
  • To assess the long-term outcomes and complication rates following the procedure.

Summary:

  • A 5-year study followed 50 children (2 months to 15 years) who underwent Nissen fundoplication for severe GERD.
  • The surgery was successful in 86.3% for the initial indications, with no immediate deaths.
  • Postoperative complications occurred in 54% (fundoplication-specific) and 22% (other), with some developing dumping syndrome later.

Impact:

  • Nissen fundoplication demonstrates high success rates in addressing GERD indications in children.
  • The significant rate of postoperative complications highlights the need for careful patient selection and re-evaluation of surgical indications.

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