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Related Experiment Videos

Laparoscopic fundoplication and gastrostomy

K E Georgeson1

  • 1University of Alabama at Birmingham and The Children's Hospital of Alabama, Birmingham, AL 35233, USA.

Seminars in Laparoscopic Surgery
|May 2, 1998
PubMed
Summary
This summary is machine-generated.

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Surgical treatment for pediatric gastroesophageal reflux, including fundoplication and gastrostomy, is effective with low recurrence rates. Laparoscopic approaches offer faster recovery and reduced complications compared to open procedures.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology

Background:

  • Gastroesophageal reflux is common in infants and children, often requiring surgical intervention.
  • Fundoplication and gastrostomy are frequently performed procedures for managing severe reflux.
  • Indications include chronic vomiting, failure to thrive, and pulmonary issues.

Purpose of the Study:

  • To review surgical techniques, outcomes, and complications of fundoplication and gastrostomy.
  • To evaluate the effectiveness of different fundoplication types (Nissen vs. Toupet).
  • To compare laparoscopic and open surgical approaches.

Main Methods:

  • Retrospective review of 389 pediatric patients undergoing fundoplication and/or gastrostomy over 5 years.
  • Analysis of surgical techniques (Nissen, Toupet), patient feeding methods, operative times, and outcomes.

Related Experiment Videos

  • Comparison of complication rates and recovery between laparoscopic and open procedures.

    • Main Results:

    • Operative times decreased significantly with experience.
    • Recurrent symptoms occurred in approximately 5% of patients.
    • Laparoscopic fundoplication demonstrated outcomes equivalent to open surgery with reduced pain and faster recovery.
    • Complications included transient dysphagia, and rare esophageal/gastric perforations.

    Conclusions:

    • Fundoplication and gastrostomy are effective surgical treatments for pediatric gastroesophageal reflux.
    • Laparoscopic fundoplication offers significant advantages in terms of recovery and morbidity.
    • Careful patient selection and surgical technique are crucial for optimal outcomes.