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:: Volume 8, Issue 4 (Winter 2020) ::
J Surg Trauma 2020, 8(4): 138-146 Back to browse issues page
Anti-reflux surgery for gastroesophageal reflux in neurological impaired and non-impaired children: Long term outcomes after a median follow-up of more than 10 years
Giovanni Frongia * , Elena Jonas, Arianeb Mehrabi, Patrick Günther
MD, Division of Pediatric Surgery, Department of General, Visceral and Transplantation Surgery, University of Heidelberg, Germany
Abstract:   (107 Views)
Introduction: The durability of a fundoplication (FP) in the treatment of gastroesophageal reflux disease (GERD) in children must be confirmed in the long-term. This study aimed to present the long-term outcome after a minimum of five years.
Methods: Perioperative data were retrospectively reviewed from clinical records, and the follow-up data were collected through a standardized questionnaire. In total, 21 neurologically impaired (NI) and nine neurologically non-impaired (NNI) children were included in this study. The statistical analysis was performed using SPSS software (version 25) through Fisher’s exact test, t-test, and Kaplan-Meier analysis. A p-value of less than 0.05 was considered statistically significant.
Results: The median follow-up period was 10.8 years (5-19.7), and the refundoplication rates ranged from 11% to 19%. Revisions were usually necessary within the first two postoperative years. Most delayed refundoplications were necessary for the NI children with a laparoscopic Nissen FP. In the long-term, symptoms and medication administration program were favorable in most cases. Most parents were highly satisfied with the postoperative outcome and would approve that FP is conducted on their child again under the same circumstances.
Conclusions: The FP is a safe procedure with consistent benefits in the first 10 postoperative years in NI and NNI children with documented GERD. The NI children treated with a laparoscopic Nissen FP necessitate longer postoperative surveillance since more delayed redofundoplications were required in this group.
Keywords: Child, Fundoplication, Gastroesophageal Reflux
Full-Text [PDF 993 kb]   (34 Downloads)    
Type of Study: Research | Subject: General Surgery
Received: 2020/07/14 | Accepted: 2020/12/22 | ePublished ahead of print: 2021/01/16 | Published: 2021/02/12 | ePublished: 2021/02/12
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Frongia G, Jonas E, Mehrabi A, Günther P. Anti-reflux surgery for gastroesophageal reflux in neurological impaired and non-impaired children: Long term outcomes after a median follow-up of more than 10 years. J Surg Trauma. 2020; 8 (4) :138-146
URL: http://jsurgery.bums.ac.ir/article-1-248-en.html


Volume 8, Issue 4 (Winter 2020) Back to browse issues page
نشریه جراحی و تروما Journal of Surgery and Trauma
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