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Laparoscopic Nissen fundoplication in childhood
T E Lobe1, K P Schropp, K Lunsford
1University of Tennessee, Memphis.
Journal of Pediatric Surgery
|March 1, 1993
Summary
A minimally invasive Nissen fundoplication effectively treated a child's severe gastroesophageal reflux. This laparoscopic surgery resolved symptoms like pain and apnea, allowing for a rapid recovery.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Minimally Invasive Procedures
Background:
- Gastroesophageal reflux (GER) is a common condition in children, often managed with medication.
- Refractory GER can lead to significant morbidity, including pain and apnea, impacting quality of life.
- Surgical intervention may be necessary for cases unresponsive to conservative management.
Observation:
- A 10-year-old obese male presented with medication-resistant gastroesophageal reflux (GER).
- Symptoms included significant pain and apneic episodes attributed to GER.
- The patient's condition necessitated surgical intervention.
Findings:
- A laparoscopic Nissen fundoplication was successfully performed on the patient.
- The minimally invasive surgical approach facilitated a rapid recovery.
- The child was discharged within 36 hours post-operation, indicating the procedure's efficacy and safety.
Implications:
- Laparoscopic Nissen fundoplication is a viable and effective surgical option for pediatric patients with severe, refractory GER.
- This technique offers a minimally invasive approach with potential for shorter hospital stays and faster recovery.
- Further research can explore long-term outcomes and cost-effectiveness of this procedure in pediatric populations.