[Reflux esophagitis: operative procedures in children: fundoplication (author's transl)].

Abstract

Hiatus hernia and peptic esophagitis in children lead in 20% of the cases to peptic stenosis, thus rendering a reflux-preventing operation mandatory in many patients. We consider fundoplication as the operation of choice and have used it for 17 years. The early and late mortality varies between 1.2% and 1.4% and can be lowered even further through improvement of treatment. Functional complications such as "gas bloat syndrome," dysphagia, diarrhea, disappear spontaneously in the first 2-3 months after surgery. The only severe late complication is the development of a paraesophageal hernia months after surgery: This complication can be avoided through better technique. Out of 61 patients who were examined 10 or more years after operation, 58 are totally free of symptoms.

• Authors: M Bettex, F Kuffer
• Journal: Langenbecks Archiv fur Chirurgie (Langenbecks Arch Chir) Vol. 347 Pg. 311-5 (Nov 1978) ISSN: 0023-8236 [Print] Germany
• Vernacular Title: Refluxoesophagitis. Operationstaktik beim Kind: Fundoplicatio.
• PMID: 732434 (Publication Type: English Abstract, Journal Article)

Topics

• Age Factors
• Child
• Esophageal Stenosis (etiology)
• Esophagitis, Peptic (complications, surgery)
• Follow-Up Studies
• Humans
• Methods
• Postoperative Complications (prevention & control)
• Stomach (surgery)