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Fundoplication and gastrostomy

D H Chung1, K E Georgeson

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

Seminars in Pediatric Surgery
|December 5, 1998
PubMed
Summary
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Laparoscopic fundoplication and gastrostomy are common pediatric procedures. This approach offers reduced complications for gastroesophageal reflux disorders and failure to thrive in children.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Minimally Invasive Surgery

Background:

  • Fundoplication and gastrostomy are frequently performed in pediatric patients.
  • Laparoscopic approaches are increasingly favored due to decreased morbidity.
  • These procedures address significant gastroesophageal reflux disorders, swallowing difficulties, and failure to thrive.

Purpose of the Study:

  • To review the indications and techniques for laparoscopic fundoplication and gastrostomy in children.
  • To present the authors' experience with 390 pediatric patients undergoing these procedures.

Main Methods:

  • Review of indications for fundoplication and gastrostomy.
  • Description of laparoscopic surgical techniques.
  • Analysis of patient data from 390 cases.

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Main Results:

  • Laparoscopic fundoplication (with or without gastrostomy) is an acceptable approach for pediatric patients with significant gastroesophageal reflux.
  • Diagnostic evaluations for reflux remain consistent regardless of surgical approach.
  • Gastrostomy alone is indicated for swallowing issues or failure to thrive when reflux is excluded.

Conclusions:

  • Laparoscopic fundoplication and gastrostomy are effective and well-tolerated procedures in pediatric surgery.
  • The minimally invasive approach enhances patient outcomes for specific gastrointestinal conditions.
  • Careful patient selection based on diagnostic evaluations is crucial for successful outcomes.