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Fundoplication in children: experience with 106 cases

A J Spillane1, B Currie, E Shi

  • 1Department of Surgery, Prince of Wales Children's Hospital, Randwick, New South Wales, Australia.

The Australian and New Zealand Journal of Surgery
|November 1, 1996
PubMed
Summary

Fundoplication surgery effectively treats severe infant gastro-oesophageal reflux (GOR) when medical options fail. While generally safe, neurologically impaired children face higher risks, highlighting the need for careful management.

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Area of Science:

  • Pediatric Surgery
  • Gastroenterology

Background:

  • Gastro-oesophageal reflux (GOR) is common in infants, sometimes becoming severe.
  • Fundoplication is an effective surgical option for refractory GOR.

Purpose of the Study:

  • To review the experience with fundoplication at Prince of Wales Children Hospital (POWCH).
  • To assess the safety and efficacy of fundoplication in pediatric patients.

Main Methods:

  • Retrospective review of hospital records and surgical database.
  • Analysis of 106 fundoplications performed between February 1989 and March 1993.

Main Results:

  • The study reported a 7.5% failure rate and a 7.8% long-term mortality rate.
  • Neurologically impaired children were identified as having the highest risk for mortality and morbidity.

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Conclusions:

  • Fundoplication is a safe and potentially life-saving procedure for severe pediatric GOR.
  • Special considerations are necessary for neurologically impaired children undergoing this surgery.