[Laparoscopic surgery of gastroesophageal reflux in children].
نویسندگان
چکیده
INTRODUCTION Gastroesophageal reflux is a common but usually innocuous condition in children. However, in the presence of Gastroesophageal reflux disease, the surgical treatment (open or laparoscopic) may be indicated. This study aimed to evaluate the feasibility, effectiveness and safety of laparoscopic antireflux surgery (Nissen fundoplication) with emphasis in infants. MATERIAL AND METHODS Children with gastroesophageal reflux proposed for laparoscopic antireflux surgery between January 2006 and December 2012 in a pediatric surgery department of a university hospital were studied. A descriptive and comparative analysis was conducted with regard to age (group I: <1 year, group II: 1-3 years, group III: > 3 years) and presence of comorbidities. Demographics, symptoms, comorbidities, operative indications, perioperative and postoperative outcome were assessed. The statistical significance level was set at 5%. RESULTS 55 children were proposed for surgery: 12 of group I, 15 group of II and 28 of group III. 50.9% had comorbidities (21 central nervous system disease and 7 esophageal atresia). In 52 (94.5%) cases, antireflux surgery was performed by laparoscopy. The procedure lasted 167 ± 42 minutes, with no significant differences according to age groups, although higher in those with central nervous system disease. With a follow-up of 35.5 ± 23.9 months, the following complications occurred: gas-bloat syndrome, dumping or dysphagia in 8 cases (15.7%) and paraesophageal hernia in 2 cases (3.9%), with no significant differences between groups; there was clinical recurrence with reoperation in 2 cases. CONCLUSION Laparoscopic Nissen fundoplication is a feasible and effective procedure, with minimal morbidity, including in infancy.
منابع مشابه
Laparoscopic antireflux surgery in the treatment of gastroesophageal reflux in patients with Barrett esophagus.
BACKGROUND Patients with gastroesophageal reflux and Barrett esophagus may represent a group of patients with poorer postoperative outcomes. It has been suggested that such patients should undergo open rather than laparoscopic antireflux surgery. HYPOTHESIS The laparoscopic approach to antireflux surgery is appropriate treatment for patients with Barrett esophagus who have symptomatic gastroe...
متن کاملCow’s Milk Sensitization in Young Children with Gastroesophageal Reflux Disease
Introduction:: Recent reports have suggested that gastroesophageal reflux disease (GERD) is link with cow’s milk allergy (CMA) in children. The aim of this study was to determine the frequency of CMA in young children with GERD.Materials and Methods: This cross- sectional study included 33 children (median age, 2.93±1.90 years) with GERD according to a valid gastroesophageal reflux questionnair...
متن کاملLaparoscopic Antireflux Surgery in Patients with Extra Esophageal Symptoms Related to Asthma
BACKGROUND Asthma, laryngitis and chronic cough are atypical symptoms of the gastroesophageal reflux disease. AIM To analyze the efficacy of laparoscopic surgery in the remission of extra-esophageal symptoms in patients with gastroesophageal reflux, related to asthma. METHODS Were reviewed the medical records of 400 patients with gastroesophageal reflux disease submitted to laparoscopic Nis...
متن کاملLaparoscopic reoperation for failed antireflux procedures.
BACKGROUND Laparoscopic fundoplication has become the criterion standard for the surgical treatment of gastroesophageal reflux disease. Recently, several patients were referred with recurrent symptoms of gastroesophageal reflux disease or severe dysphagia following previous antireflux surgery for possible laparoscopic reoperation. HYPOTHESIS To determine the safety and efficacy of this proced...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Acta medica portuguesa
دوره 26 6 شماره
صفحات -
تاریخ انتشار 2013