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Long-term radiographic follow-up of the Nissen fundoplication in children.

Abstract
This study examined 46 children 5-9 years (mean 6.7) after Nissen fundoplication surgery for gastroesophageal reflux (GER). Eleven were deceased and ten of the 35 families declined objective evaluation. The remaining 25 children (71%) had a barium swallow examination. In 16 of the 25 patients the fundoplication was intact. In 2 patients a small portion of the fundoplication was displaced above the diaphragm. In 5 patients there was residual esophageal disease. In 3 patients (one with esophageal disease), with a hiatus hernia prior to surgery, despite immediate postoperative reduction, the barium swallow examination done for this study revealed recurrent hiatus hernia but no GER. Long-term results of the Nissen fundoplication reveal success in eliminating clinically significant gastroesophageal reflux. Those patients with esophageal disease prior to the surgery need close interval follow-up to monitor continuing problems.
AuthorsC E Blane, R H Turnage, K T Oldham, A G Coran
JournalPediatric radiology (Pediatr Radiol) Vol. 19 Issue 8 Pg. 523-6 ( 1989) ISSN: 0301-0449 [Print] GERMANY, WEST
PMID2797936 (Publication Type: Journal Article)
Topics
  • Child
  • Child, Preschool
  • Esophagus (surgery)
  • Follow-Up Studies
  • Gastric Fundus (surgery)
  • Gastroesophageal Reflux (radiography, surgery)
  • Humans
  • Time Factors

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