Laparoscopic fundoplication and gastrostomy.

Abstract

Minimally invasive surgical approaches to various pediatric surgical disease processes are becoming the standard of care. Laparoscopic Nissen fundoplication is transitioning toward the preferred method for the surgical correction of gastroesophageal reflux (GER) disease in infants and children that do not respond to medical management or have complications from their GER. This approach offers a shorter hospitalization, reduced discomfort, and cosmetic advantages when compared with the open operation. This report discusses the pathophysiology of GER, its clinical manifestations, and the diagnostic evaluation for this disorder. Also, the laparoscopic Nissen fundoplication technique currently utilized at Children's Mercy Hospital is described.

• Authors: Daniel J Ostlie, George W Holcomb 3rd
• Journal: Seminars in pediatric surgery (Semin Pediatr Surg) Vol. 11 Issue 4 Pg. 196-204 (Nov 2002) ISSN: 1055-8586 [Print] United States
• PMID: 12407500 (Publication Type: Journal Article, Review)
• Copyright: Copyright 2002, Elsevier Science (USA). All rights reserved.

Topics

• Child
• Child, Preschool
• Diagnostic Techniques, Digestive System
• Fundoplication (methods)
• Gastroesophageal Reflux (diagnosis, physiopathology, surgery)
• Gastrostomy (methods)
• Humans
• Infant
• Laparoscopy (methods)